Healthcare Provider Details

I. General information

NPI: 1609380302
Provider Name (Legal Business Name): SARA LEVY PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/17/2017
Last Update Date: 08/08/2025
Certification Date: 08/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 RAIDER BLVD STE 203
HILLSBOROUGH NJ
08844-1528
US

IV. Provider business mailing address

33 E 33RD ST FL 12
NEW YORK NY
10016-5362
US

V. Phone/Fax

Practice location:
  • Phone: 844-337-6362
  • Fax: 646-665-3604
Mailing address:
  • Phone: 844-337-6362
  • Fax: 732-235-7379

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number25MP00548300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: