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Contact Information

ELLEN LEVAN, MD, PC
23 BRANFORD PL
NEWARK, NJ07102-2711
 Phone: 973-424-0080
 Fax: 973-424-0088
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Licensed Practical Nurse

164W00000X
 

Medical

363AM0700X 97 Physician Assistant
 

Pediatric Hematology-Oncology

2080P0207X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for ELLEN LEVAN, MD, PC

NPI # 1952615247
LBN Legal business name ELLEN LEVAN, MD, PC
Authorized official ELLEN LEVAN - (PHYSICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 07/29/2010
Last updated 09/30/2010 - About 16 years ago
Identifiers
NJ License # 25MA04281900
NJ License # 25MA05569500
NJ License # 25MA07184800
NJ License # 25MP00016700
NJ License # 26NP05605400
NJ Medicaid 7528001
NJ Medicaid 8449007
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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