MEDICARE: ROBIN LEVAT MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	25MA05630700	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0299723	OTHER	NJ	GHI PPO #
2	160031319	OTHER	NJ	RAILROAD MCR #
3	1600740	OTHER	NJ	HEALTHSOURCE/CHUBB #
4	18904	OTHER	NJ	UHP #
5	4507302	OTHER	NJ	AETNA PPO #
6	494332	OTHER	NJ	AETNA HMO #
7	42K891	OTHER	NJ	EMPIRE BC/BS #
8	BP396	OTHER	NJ	OXFORD #
9	J35672	OTHER	NJ	HEALTHNET #

General Provider Information

NPI Number	:	1174523633
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBIN LEVAT MD

Provider Business Mailing Address
First Line	:	3600 ROUTE 66 FL 3
Second Line	:
City	:	NEPTUNE
State	:	NJ
Zip	:	07753-2645
Country	:	US
Telephone Number	:	732-807-0877
Fax Number	:	201-751-1680

Provider Business Practice Location Address
First Line	:	130 KINDERKAMACK RD STE 300
Second Line	:
City	:	RIVER EDGE
State	:	NJ
Zip	:	07661-1931
Country	:	US
Telephone Number	:	201-489-2727
Fax Number	:	201-489-5040

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/27/2005
Last Update Date	:	12/04/2020

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Directions to “ ROBIN LEVAT MD” Practice Location

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