Dermatology, MOHS-Micrographic Surgery
Dr. JACK LEVY MD
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1720512049 · enumerated 2017-04-13 · record updated 2022-10-27. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 12 WEST 21ST STREET, 6TH FLOOR, NEW YORK, NY, 10010 (212) 343-2222 Google Maps Apple Maps OpenStreetMap
- Mailing address 19-07 RADBURN RD, FAIR LAWN, NJ, 07410-4554 (201) 370-2845 Google Maps Apple Maps OpenStreetMap
Specialties
- Dermatology 207N00000X · License 309233-01 NY
- Dermatology 207N00000X · License 25MA11062100 NJ
- Dermatology, MOHS-Micrographic Surgery 207ND0101X · License 25MA11062100 NJ
- Dermatology, Procedural Dermatology 207NS0135X · License 309233-01 NY
- Dermatology, Procedural Dermatology 207NS0135X · License 25MA11062100 NJ
- Student in an Organized Health Care Education/Training Program 390200000X
- Dermatology, MOHS-Micrographic Surgery 207ND0101X · Primary · License 309233-01 NY
In this directory
NY New York County New York Dermatology, MOHS-Micrographic Surgery
Locations and evidence
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Practice location
NEW YORK, NY, 10010
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.