Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jack Levy, MD

Individual provider Dermatology Physician · NPI 1720512049

Dr. Jack Levy, MD is a Dermatology in New York, New York. Graduated from Js Weill Medical College, Cornell University in 2017, 9 years ago. Practices with Weill Medical College of Cornell, a 2,031-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New Jersey and New York.

Years since qualifying
9
Trained at
Js Weill Medical College, Cornell University
Licensed in
NJ, NY
In the registry since
2017
Specialties on file
7
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

12 W 21st Street 6th Fl
New York, NY 10010
Phone: (212) 343-2222
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

MOHS-Micrographic Surgery Physician (primary) Taxonomy 207ND0101X · Licence 309233-01 (NY)
Dermatology Physician Taxonomy 207N00000X · Licence 309233-01 (NY)
Dermatology Physician Taxonomy 207N00000X · Licence 25MA11062100 (NJ)
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X · Licence 25MA11062100 (NJ)
Procedural Dermatology Physician Taxonomy 207NS0135X · Licence 309233-01 (NY)
Procedural Dermatology Physician Taxonomy 207NS0135X · Licence 25MA11062100 (NJ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1720512049
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 13, 2017
Last updated in NPPESOctober 27, 2022
Certification dateOctober 27, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolJS WEILL MEDICAL COLLEGE, CORNELL UNIVERSITY
Graduated 2017 (9 years in practice)
Group practice Weill Medical College Of Cornell — 2031 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in New York