Physician Compare National (NPI:1316382641)

HEALTHCARE PROVIDER: NIKOLAY LEVINTOV MD, DDS

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

Individual Professional Information
NPI	1316382641
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1759712557
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20200512000215
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	LEVINTOV
	Individual professional last name
Provider First Name	NIKOLAY
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	CASE WESTERN UNIVERSITY SCHOOL OF DENTAL MEDICINE
	Individual professional's medical school
Graduation Year	2016
	Individual professional's medical school graduation year
Primary Specialty	ORAL SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	NEW JERSEY ORAL SURGERY AND DENTAL IMPLANTS LLC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	4789015397
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	2
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	87 COUNTY RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 520
	Group Practice or individual's line 2 address
City	MORGANVILLE
	Group Practice or individual's city
State	NJ
	Group Practice or individual's state
Zip Code	077511241
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7329720002
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	M