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ELLEN LEVAN MD PC NPI 1952615247


NPI Information

NPI: 1952615247
Provider Name: ELLEN LEVAN, MD, PC

Doing Business As: BRANFORD MEDICAL CENTER

Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
23 BRANFORD PL
NEWARK, NJ
ZIP 07102
Phone: (973) 424-0080
Get Directions

ELLEN LEVAN, MD, PC is an internal medicine in Newark, NJ. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. ELLEN LEVAN, MD, PC NPI is 1952615247. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Branford Medical Center.

The provider's business location address is:

23 BRANFORD PL
NEWARK, NJ
ZIP 07102-711
Phone: (973) 424-0080
Fax: (973) 424-0088

The provider's authorized official is Ellen Levan .
The authorized official title is Physician and has the following contact phone number (973) 424-0080.

The enumeration date for this NPI number is 7/29/2010 and was last updated on 9/30/2010.


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
1207R00000XInternal Medicine25MA04281900NEW JERSEYNo
2164W00000XLicensed Practical Nurse26NP05605400NEW JERSEYNo
3363AM0700XPhysician AssistantMedical25MP00016700NEW JERSEYNo
42080P0207XPediatricsPediatric Hematology-Oncology25MA05569500NEW JERSEYNo
5207R00000XInternal Medicine25MA07184800NEW JERSEYYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1045962MEDICARE PINNEW JERSEY
27528001MEDICAIDNEW JERSEY
38449007MEDICAIDNEW JERSEY
4004792MEDICARE PINNEW JERSEY

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

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