MEDICARE: MR. NATHAN LEVITT FNP

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	363L00000X	Nurse Practitioner	F34002501	NY
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	F34002501	NY
3	363LF0000X	Family Nurse Practitioner	F340025-1	NY

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

General Provider Information

NPI Number	:	1972971240
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. NATHAN LEVITT FNP

Provider Business Mailing Address
First Line	:	60 MADISON AVE FL 5
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10010-1600
Country	:	US
Telephone Number	:	212-545-2400
Fax Number	:	646-312-0481

Provider Business Practice Location Address
First Line	:	1 BARKER AVE STE 200
Second Line	:
City	:	WHITE PLAINS
State	:	NY
Zip	:	10601-1523
Country	:	US
Telephone Number	:	914-222-0101
Fax Number	:	914-521-6331

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

Provider Enumeration Date	:	09/03/2015
Last Update Date	:	02/05/2026

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