DR. JACK LEVENBROWN MD NPI 1750361911

NPI Information

  • NPI: 1750361911
  • Provider Name: DR. JACK LEVENBROWN, MD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • Address: 300 COMMUNITY DR
    MANHASSET, NY
    ZIP 11030
  • Phone: (516) 562-4795

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NPI Details

DR. Jack Levenbrown, MD is a diagnostic radiology radiology in Manhasset, NY. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Jack Levenbrown, MD NPI is 1750361911. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

300 COMMUNITY DR
MANHASSET, NY
ZIP 11030-816
Phone: (516) 562-4795
Fax: (516) 562-4794

The enumeration date for this NPI number is 1/21/2006 and was last updated on 7/8/2007.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic Radiology104245NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100729722MEDICARE ID-TYPE UNSPECIFIEDNEW YORK
279A491MEDICARE ID-TYPE UNSPECIFIEDNEW YORK
3B19363MEDICARE UPINNEW YORK

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: 11/21/2025

NPI Synchronization or Removal

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