Basic Information
| Provider Information | |||||||||
| NPI: | 1174523633 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LEVAT | ||||||||
| FirstName: | ROBIN | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3600 ROUTE 66 FL 3 | ||||||||
| Address2: | |||||||||
| City: | NEPTUNE | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 077532645 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7328070877 | ||||||||
| FaxNumber: | 2017511680 | ||||||||
| Practice Location | |||||||||
| Address1: | 130 KINDERKAMACK RD STE 300 | ||||||||
| Address2: | |||||||||
| City: | RIVER EDGE | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 076611931 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2014892727 | ||||||||
| FaxNumber: | 2014895040 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/27/2005 | ||||||||
| LastUpdateDate: | 12/04/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 12/04/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | 25MA05630700 | NJ | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
ID Information
| ID | Type | State | Issuer | Description | 0299723 | 01 | NJ | GHI PPO # | OTHER | 160031319 | 01 | NJ | RAILROAD MCR # | OTHER | 1600740 | 01 | NJ | HEALTHSOURCE/CHUBB # | OTHER | 18904 | 01 | NJ | UHP # | OTHER | 4507302 | 01 | NJ | AETNA PPO # | OTHER | 494332 | 01 | NJ | AETNA HMO # | OTHER | 42K891 | 01 | NJ | EMPIRE BC/BS # | OTHER | BP396 | 01 | NJ | OXFORD # | OTHER | J35672 | 01 | NJ | HEALTHNET # | OTHER |