Jonathan L Levine, M.D.
Obstetrics & Gynecology in New London, CT. Individual provider (NPI-1).
NPI number1497769509
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1497769509
- Entity type
- Individual (NPI-1)
- Name
- Jonathan L Levine
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 27, 2006
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - OBSTETRICS/GYNECOLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- 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 |
|---|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 029407 | CT | Yes |
Practice location
4 Shaws CvNew London, CT 06320-4956
Phone 860-447-2935 · Fax 860-447-2935
Mailing address
4 Shaws CvNew London, CT 06320-4956
Phone 860-447-2935 · Fax 860-447-2935
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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