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Deactivated NPI 1104819960 Deactivated / Inactive NPI Male Practitioner

Dr. Melvyn B Levine , MD

Specialist • Medford, MA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Melvyn Levine has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 26, 2005
NPI Deactivation Date August 28, 2024
Total Practice Duration ~19 Years of Practice (2005 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Melvyn Levine, MD was a registered Specialist practicing in Medford, MA. Throughout an active medical career spanning 19 years, Dr. Levine provided care at the practice location at 101 MAIN ST until profile deactivation on 2024-08-28.

Practice Location & Contact Primary Location

Practice Address

101 Main St
Suite 201

Medford, MA 021554540

Telephone 7813961288
Fax 7813911989
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Medford, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 37.9 Yrs
Regional Practice Density
14 Specialists

Practicing in Medford, MA (1181 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License MA 30035

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
Theresa Bui , CPNP

Nurse Practitioner - Pediatrics

NPI 1003446311

Certified Pediatric Nurse Practitioner

NPI 1164415840

Doctor of Medicine (M.D.)

NPI 1255324935

Doctor of Medicine (M.D.)

Nicole Hersel , NP

Nurse Practitioner

NPI 1275878076

Nurse Practitioner

NPI 1336600279

Doctor of Medicine (M.D.)

Kaitlyn Patel , FNP-BC

Nurse Practitioner - Family

NPI 1437848033

Family Nurse Practitioner (Board Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated August 28, 2024

Record deactivated on August 28, 2024

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 09, 2007

Registered at 101 MAIN ST, SUITE 201, MEDFORD, MA 021554540 (Tel: 7813961288)

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Updated Business Mailing Address July 09, 2007

Registered at 101 MAIN ST, SUITE 201, MEDFORD, MA 021554540 (Tel: 7813961288)

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Provider Name / Credentials Updated July 09, 2007

Recorded as MELVYN LEVINE, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Specialist (License #30035 in MA)

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Initial NPI Registration & Enumeration August 26, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104819960
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 26, 2005
Last Update: July 09, 2007
Deactivation Date: August 28, 2024

Mailing Address

101 Main St, Suite 201

Medford, MA 021554540

Phone: 7813961288

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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