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DR. JACK M. LEVINE M.D.
NPI 1962588301
Pediatrics in Kew Gardens Hills, NY

Active since October 27, 2006PECOS EnrolledAccepts Medicare Assignment
6940 MAIN ST, KEW GARDENS HILLS, NY 11367(718) 268-5282 Get Directions Write a Review

NPPES record last updated: December 28, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 28, 2020, Sep 22, 2020 (2 updates tracked since 2020).

About Dr. Jack M. Levine M.d. NPPES

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

DR. JACK M. LEVINE M.D. (NPI 1962588301) is an individual pediatrics provider in Kew Gardens Hills, New York, licensed in New York (145681) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Flushing, and is a graduate of Albert Einstein College Of Medicine Of Yeshiva University (1978).

NPPES Registry Identity

NPI1962588301
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. JACK M. LEVINECredential: M.D.
Location Address6940 MAIN STKew Gardens Hills, NY 11367-1723
Mailing Address5 Aspen PlGreat Neck, NY 11021-2810 · (516) 466-5255
Phone(718) 268-5282
Sole ProprietorNo
Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 1978
Enumeration DateOctober 27, 2006
Last NPPES UpdateDecember 28, 20202 updates tracked since enumeration
NPPES CertifiedDecember 28, 2020
✔ NPI 1962588301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 145681
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedPediatrics · Developmental - Behavioral PediatricsTaxonomy 2080P0006X · License 145681 (NY)
6940 MAIN ST, Kew Gardens Hills, NY 11367
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Secondary Practice Location 1

Location 114149 70th RdFlushing, NY 11367-1936 · Phone (718) 268-5282

Other Identifiers 1

Medicaid00801390NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jack M. Levine M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1557512894
PECOS Enrollment IDI20121113000652
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11367 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KIMBERLY GREEN-MAYER DO
Pediatrics
6940 MAIN ST
KEW GARDENS HILLS, NY 11367
Queens County (718) 268-5282
PANKUSH KUMAR
Pediatrics
6940 MAIN ST
FLUSHING, NY 11367
Queens County (718) 880-2050

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 Jack Levine's NPI number?

The NPI number for Jack Levine is 1962588301. It was assigned to this individual provider in the NPPES registry on October 27, 2006.

Where is Jack Levine located?

Jack Levine practices at 6940 Main St, Kew Gardens Hills, NY 11367. The listed phone number is (718) 268-5282.

What is Jack Levine's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Jack Levine enrolled in Medicare?

Yes. Jack Levine is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jack Levine was last updated on December 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.