Jordan Levandoski, PA-C
Physician Assistant in Philadelphia, PA. Individual provider (NPI-1).
NPI number1063258002
StatusActive
Last updated in NPPESJul 8, 2024
Details
- NPI
- 1063258002
- Entity type
- Individual (NPI-1)
- Name
- Jordan Levandoski
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 8, 2024
- Certification date
- Jul 8, 2024
- Last updated
- Jul 8, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
Practice location
10800 Knights RdPhiladelphia, PA 19114-4200
Phone 215-612-4000
Mailing address
205 Elm StDupont, PA 18641-1950
Phone 570-466-8869
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