Healthcare Provider Details

I. General information

NPI: 1174563027
Provider Name (Legal Business Name): JOEL W LEVITT M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/08/2006
Last Update Date: 08/11/2025
Certification Date: 08/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

769 NORTHFIELD AVE SUITE LL2
WEST ORANGE NJ
07052-1198
US

IV. Provider business mailing address

10 FOX HOLLOW RD
MORRISTOWN NJ
07960-6929
US

V. Phone/Fax

Practice location:
  • Phone: 973-731-2100
  • Fax: 973-731-2188
Mailing address:
  • Phone: 973-898-1975
  • Fax: 973-455-0494

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YP0228X
TaxonomyPediatric Otolaryngology Physician
License Number25MA03812000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: