Levitsky, Kenneth A.

Levitsky, Kenneth A. is an individual health care provider with primary practice located at 28-04 Broadway Garden State Orthopaedic Associates, Fair Lawn NJ 07410-3913. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Foot and Ankle Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Levitsky, Kenneth A. can be contacted via phone (201) 791-4434.

Contact Information

Primary practice address
28-04 Broadway Garden State Orthopaedic Associates Fair Lawn NJ 07410-3913
Phone: (201) 791-4434
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 25MA05941700 New Jersey
Allopathic & Osteopathic Physicians / Foot and Ankle Surgery 207XX0004X 25MA0941700 New Jersey
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 25MA05941700 New Jersey

Profile Details

NPI number 1629045455
LBN Legal business name Levitsky, Kenneth A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2006
Last updated Jul 2nd, 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 1629045455 NPPES
New Jersey MEDICAID 5596408

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