Healthcare Provider Details

I. General information

NPI: 1609516350
Provider Name (Legal Business Name): SARA M LEVY DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2022
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

70 HILLTOP RD
RAMSEY NJ
07446-1155
US

IV. Provider business mailing address

70 HILLTOP RD
RAMSEY NJ
07446-1155
US

V. Phone/Fax

Practice location:
  • Phone: 201-934-0043
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number25MB12381800
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: