Physician Compare National (NPI:1174558084)

HEALTHCARE PROVIDER: IAN HAROLD LEVY DO

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1174558084
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2163448929
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20051020000660
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	LEVY
	Individual professional last name
Provider First Name	IAN
	Individual professional first name
Provider Middle Name	H
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	DO
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
	Individual professional's medical school
Graduation Year	1987
	Individual professional's medical school graduation year
Primary Specialty	ENDOCRINOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	INTERNAL MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	INTERNAL MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	284 N FRANKLIN TURNPKIE
	Group Practice or individual's line 1 address
City	RAMSEY
	Group Practice or individual's city
State	NJ
	Group Practice or individual's state
Zip Code	07446
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2013275551
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	310012
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	VALLEY HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y