=====================================================
General NPI Number Information
=====================================================
NPI Number | 1295797017
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JANE ROCHELLE LEVINE MS, RD, CD-N
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/05/2006
-----------------------------------------------------
Last Update Date | 07/13/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 250 E HARTSDALE AVE
-----------------------------------------------------
City | HARTSDALE
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10530-3571
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 914-725-5703
-----------------------------------------------------
Fax | 914-693-2066
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5 SWEETBRIAR RD
-----------------------------------------------------
City | ARDSLEY
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10502-2223
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 914-693-0533
-----------------------------------------------------
Fax | 914-693-2066
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 133V00000X
-----------------------------------------------------
Taxonomy Name | Registered Dietitian
-----------------------------------------------------
License Number | 000398
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------