Healthcare Provider Details

I. General information

NPI: 1720040306
Provider Name (Legal Business Name): JEFFREY AARON LEVY D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/06/2006
Last Update Date: 09/23/2025
Certification Date: 09/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12200 WARWICK BLVD STE 310
NEWPORT NEWS VA
23601-2344
US

IV. Provider business mailing address

12200 WARWICK BLVD STE 310
NEWPORT NEWS VA
23601-2344
US

V. Phone/Fax

Practice location:
  • Phone: 808-534-9988
  • Fax:
Mailing address:
  • Phone: 757-534-9988
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number0102201101
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code207XX0004X
TaxonomyOrthopaedic Foot and Ankle Surgery Physician
License Number0102201101
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: