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

Ethan Levine

Individual provider Medical Physician Assistant · NPI 1487182283

Ethan Levine is a Physician Assistant in Newburgh, New York. Qualified in 2012, 14 years ago. Practices with City Medical of Upper East Side PLLC, a 663-clinician group and accepts Medicare assignment. Licensed in Connecticut and New York.

Years since qualifying
14
Licensed in
CT, NY
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

70 Dubois St
Newburgh, NY 12550-4851
Phone: (845) 561-4400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 020831 (NY)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 3863 (CT)

Record details

NPI number1487182283
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 24, 2017
Last updated in NPPESFebruary 13, 2018
Mailing address720 Pelham Rd Apt 3c, New Rochelle, NY 10805-1016

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice City Medical Of Upper East Side Pllc — 663 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

Other providers in Newburgh