Levin, Kenneth A

Levin, Kenneth A is an individual health care provider with primary practice located at 1200 East Ridgewood Ave East Wing - 2Nd Floor, Ridgewood NJ 07450. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Levin, Kenneth A can be contacted via phone (201) 444-0868.

Contact Information

Primary practice address
1200 East Ridgewood Ave East Wing - 2Nd Floor Ridgewood NJ 07450
Fax: (201) 493-0797
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MA47765 New Jersey

Profile Details

NPI number 1679534515
LBN Legal business name Levin, Kenneth A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2006
Last updated Apr 11th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679534515 NPPES
New Jersey MEDICAID 1970607

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