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

Active since October 27, 2006PECOS Enrolled
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: October 25, 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 and maintains a secondary practice location in Flushing.

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
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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jack M. Levine M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jack Levine reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Elmont Community Health Center
5.6 mi
Clinic/Center
161 HEMPSTEAD TPKE
Elmont, NY 11003
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Nassau Health Care Corporation
  • 553 clinicians in this Medicare group
NPI 1467478362 (516) 571-8200
North Shore - Lij Medical PC
6.1 mi
Internal Medicine
270-05 76TH AVE
New Hyde Park, NY 11040
  • Reassigned Medicare billing, New York enrollment
  • 9,353 clinicians in this Medicare group
NPI 1790043479 (516) 465-8089

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

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 3

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

SOPHIA BEN BARUCH
Social Worker
6940 MAIN ST
FLUSHING, NY 11367
Queens County (718) 880-2050
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 enrollment system.

Which organizations bill Medicare for Jack Levine's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jack Levine reassigns Medicare benefits to 2 organizations: Elmont Community Health Center (Elmont, NY) and North Shore - Lij Medical PC (New Hyde Park, NY). Each 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 Jack Levine's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.