Active NPIIndividual providerSole proprietor

Ellen Levan, MD

Internal Medicine in Fair Lawn, New Jersey

NPI Number1710960927
Practice location
26-01 Pellack Drive, 2ND Floor, Fair Lawn, NJ 07410
Fax
201-791-9481
Last updated
October 24, 2012

Ellen Levan is an Internal Medicine based in Fair Lawn, NJ. Ellen Levan practices in Fair Lawn, NJ and has the professional credentials of MD. The NPI Number for Ellen Levan is 1710960927 and holds a License No. 25MA07184800 (NJ). The current practice location address for Ellen Levan is 26-01 Pellack Drive, 2ND Floor, Fair Lawn, NJ 07410 and can be reached out via phone at 201-791-9340 and via fax at 201-791-9481.

Provider Profile Details

NPI Number
1710960927
Provider Name
Ellen Levan
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
26-01 Pellack Drive, 2ND Floor, Fair Lawn, NJ 07410
Phone Number
201-791-9340
Fax Number
201-791-9481
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
Yes
Other Names
-- Yelena Itskhoki, MD (Former Name)
Provider Enumeration Date
November 22, 2005
Last Update Date
October 24, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
26-01 Pellack Drive
2ND Floor
Fair Lawn, NJ 07410
Zip
07410
Phone Number
201-791-9340
Fax Number
201-791-9481
Fair Lawn, NJ 07410Get directions →

Provider Business Mailing Address Details

Address
26-01 Pellack Drive
2ND Floor
Fair Lawn, NJ 07410
City
Fair Lawn
State
NJ
Zip
07410
Phone Number
201-791-9340
Fax Number
201-791-9481

License Information

License Number
25MA07184800
License State
NJ
Taxonomy
Internal Medicine · 207R00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ellen Levan, MD?

The NPI number of Ellen Levan, MD is 1710960927. It was assigned on November 22, 2005 and is currently active in the NPPES registry.

What is the specialty of Ellen Levan, MD?

Ellen Levan, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in NJ under license number 25MA07184800.

Where does Ellen Levan, MD practice?

The practice location is 26-01 Pellack Drive, 2ND Floor, Fair Lawn, NJ 07410. The office can be reached at 201-791-9340 (phone) or 201-791-9481 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1710960927 directly on the NPPES registry website.

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