DR STUART R LEVINE DERMATOLOGY AND DERMATOLOGIC SURGERY PC
NPI 1053622464
Dermatology in Brooklyn, NY

Active since June 30, 2010
1717 86 ST, BROOKLYN, NY 11214(718) 331-3122(718) 621-4668 Get Directions Write a Review

NPPES record last updated: January 13, 2011. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr Stuart R Levine Dermatology And Dermatologic Surgery Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR STUART R LEVINE DERMATOLOGY AND DERMATOLOGIC SURGERY PC (NPI 1053622464) is a healthcare organization registered as a dermatology in Brooklyn, New York and active in the NPI registry since June 2010. The organization lists Stuart R Levine, Owner, as its authorized official.

NPPES Registry Identity

NPI1053622464
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameDR STUART R LEVINE DERMATOLOGY AND DERMATOLOGIC SURGERY PC
Location Address1717 86 STBrooklyn, NY 11214-2817
Mailing Address1717 86 StreetBrooklyn, NY 11214-2817 · (718) 331-3122 · Fax (718) 621-4668
Fax(718) 621-4668
Organization SubpartNo
Authorized OfficialStuart R LevineOwner · (718) 331-3122
Enumeration DateJune 30, 2010
Last NPPES UpdateJanuary 13, 2011
✔ NPI 1053622464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
1717 86 ST, Brooklyn, NY 11214

Other Identifiers 1

Medicare PINA100036696NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr Stuart R Levine Dermatology And Dermatologic Surgery Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Dr Stuart R Levine Dermatology And Dermatologic Surgery PC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (5)

Dermatology
NPI 1790878866
20 PROSPECT AVE STE 702
Hackensack, NJ 07601
(201) 441-9890
✔ PECOS19 mi
Nurse Practitioner
NPI 1699989871
2000 N VILLAGE AVE SUITE 203
Rockville Centre, NY 11570
(516) 763-1717
✔ PECOS✔ Accepts Medicare20 mi
Dermatology
NPI 1386622579
2000 N VILLAGE AVE SUITE 203
Rockville Centre, NY 11570
(516) 763-1717
✔ PECOS✔ Accepts Medicare20 mi
Dermatology
NPI 1265877161
70 PARK AVE UNIT 3
Park Ridge, NJ 07656
(201) 582-8015
✔ PECOS✔ Accepts Medicare29 mi
Plastic and Reconstructive Surgery
NPI 1588734735
143 FROEHLICH FARM BLVD
Woodbury, NY 11797
(516) 390-8888
✔ PECOS✔ Accepts Medicare31 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dr Stuart R Levine Dermatology And Dermatologic Surgery PC's NPI number?

The NPI number for Dr Stuart R Levine Dermatology And Dermatologic Surgery PC is 1053622464. It was assigned to this organization in the NPPES registry on June 30, 2010.

Where is Dr Stuart R Levine Dermatology And Dermatologic Surgery PC located?

Dr Stuart R Levine Dermatology And Dermatologic Surgery PC is located at 1717 86 St, Brooklyn, NY 11214. The listed phone number is (718) 331-3122.

What is Dr Stuart R Levine Dermatology And Dermatologic Surgery PC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Dr Stuart R Levine Dermatology And Dermatologic Surgery PC enrolled in Medicare?

Yes. Dr Stuart R Levine Dermatology And Dermatologic Surgery PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dr Stuart R Levine Dermatology And Dermatologic Surgery PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 3 Medicare specialties reassign their Medicare billing to Dr Stuart R Levine Dermatology And Dermatologic Surgery PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Dermatology (3), Nurse Practitioner (1) and Plastic and Reconstructive Surgery (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Dr Stuart R Levine Dermatology And Dermatologic Surgery PC was last updated on January 13, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.