Provider Demographics
NPI:1174523633
Name:LEVAT, ROBIN (MD)
Entity type:Individual
Prefix:
First Name:ROBIN
Middle Name:
Last Name:LEVAT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3600 ROUTE 66 FL 3
Mailing Address - Street 2:
Mailing Address - City:NEPTUNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07753-2645
Mailing Address - Country:US
Mailing Address - Phone:732-807-0877
Mailing Address - Fax:201-751-1680
Practice Address - Street 1:130 KINDERKAMACK RD STE 300
Practice Address - Street 2:
Practice Address - City:RIVER EDGE
Practice Address - State:NJ
Practice Address - Zip Code:07661-1931
Practice Address - Country:US
Practice Address - Phone:201-489-2727
Practice Address - Fax:201-489-5040
Is Sole Proprietor?:No
Enumeration Date:2005-07-27
Last Update Date:2020-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA05630700207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0299723OtherGHI PPO #
NJ160031319OtherRAILROAD MCR #
NJ1600740OtherHEALTHSOURCE/CHUBB #
NJ18904OtherUHP #
NJ4507302OtherAETNA PPO #
NJ494332OtherAETNA HMO #
NJ42K891OtherEMPIRE BC/BS #
NJBP396OtherOXFORD #
NJJ35672OtherHEALTHNET #
NJ095550BXQMedicare PIN