MEDICARE: LEV J PAUKMAN 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	207RC0000X	Cardiovascular Disease Physician	147367	NY
2	207RC0000X	Cardiovascular Disease Physician	ME147622	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1659475267
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEV J PAUKMAN MD

Provider Business Mailing Address
First Line	:	396 400 AVENUE X
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11223
Country	:	US
Telephone Number	:	718-376-6500
Fax Number	:	718-376-5078

Provider Business Practice Location Address
First Line	:	396 400 AVENUE X
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11223
Country	:	US
Telephone Number	:	718-376-6500
Fax Number	:	718-376-5078

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

Provider Enumeration Date	:	09/12/2006
Last Update Date	:	12/15/2025

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