| Dr Jack M Levine, MD | |
|
6940 Main St, Kew Gardens Hills, NY 11367-1723 | |
| (718) 268-5282 | |
| Not Available |
| Full Name | Dr Jack M Levine |
|---|---|
| Gender | Male |
| Speciality | Pediatric Medicine |
| Experience | 48 Years |
| Location | 6940 Main St, Kew Gardens Hills, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962588301 | NPI | - | NPPES |
| 00801390 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080P0006X | Pediatrics - Developmental - Behavioral Pediatrics | 145681 (New York) | Secondary |
| 208000000X | Pediatrics | 145681 (New York) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Shore-lij Medical Pc | 3375701568 | 5625 |
| Entity Name | Nassau Health Care Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902822992 PECOS PAC ID: 2961315221 Enrollment ID: O20040619000043 |
| Entity Name | North Shore-lij Medical Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jack M Levine, MD 5 Aspen Pl, Great Neck, NY 11021-2810 Ph: (516) 466-5255 | Dr Jack M Levine, MD 6940 Main St, Kew Gardens Hills, NY 11367-1723 Ph: (718) 268-5282 |
Dr. Susan Drucker, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 69-40 Main St, Kew Gardens Hills, NY 11367 Phone: 718-268-5282 | |
Dr. Steven Jay Goldstein, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 14149 70th Rd, Kew Gardens Hills, NY 11367 Phone: 718-268-5282 | |
Dr. Kimberly Green-mayer, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 6940 Main St, Kew Gardens Hills, NY 11367 Phone: 718-268-5282 Fax: 718-261-4359 |