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DR. JACK LEVY MD NPI 1720512049


NPI Information

NPI: 1720512049
Provider Name: DR. JACK LEVY, MD
Classification: Dermatology - 207ND0101X
Entity Type: Individual

Specialization: MOHS-Micrographic Surgery

PECOS Registration: Yes

Address:
12 WEST 21ST STREET
6TH FLOOR
NEW YORK, NY
ZIP 10010
Phone: (212) 343-2222
Get Directions

DR. Jack Levy, MD is a mohs-micrographic surgery dermatology in New York, NY with 7 years of experience. The provider is the highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. DR. Jack Levy, MD NPI is 1720512049. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: JS WEILL MEDICAL COLLEGE, CORNELL UNIVERSITY
Graduation Year:2017

The provider's business location address is:

12 WEST 21ST STREET
6TH FLOOR
NEW YORK, NY
ZIP 10010
Phone: (212) 343-2222

The NPI 1720512049 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/13/2017 and was last updated on 10/27/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207N00000XDermatology309233-01NEW YORKNo
2207N00000XDermatology25MA11062100NEW JERSEYNo
3207ND0101XDermatologyMOHS-Micrographic Surgery25MA11062100NEW JERSEYNo
4207NS0135XDermatologyProcedural Dermatology309233-01NEW YORKNo
5207NS0135XDermatologyProcedural Dermatology25MA11062100NEW JERSEYNo
6390200000XStudent in an Organized Health Care Education/Training ProgramNo
7207ND0101XDermatologyMOHS-Micrographic Surgery309233-01NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.