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

Jack Levenson, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1043664659

Jack Levenson, DPM is a Podiatry in New Hyde Park, New York. Graduated from New York College of Podiatric Medicine in 2016, 10 years ago. Practices with Boltrope Podiatry Ny PLLC, a 30-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
10
Trained at
New York College of Podiatric Medicine
Licensed in
NY
In the registry since
2016
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

3003 New Hyde Park Rd Ste 312
New Hyde Park, NY 11042-1214
Phone: (516) 492-3515
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence N007087 (NY)

Record details

NPI number1043664659
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedApril 20, 2016
Last updated in NPPESJune 1, 2020
Certification dateJune 1, 2020

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolNEW YORK COLLEGE OF PODIATRIC MEDICINE
Graduated 2016 (10 years in practice)
Group practice Boltrope Podiatry Ny Pllc — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in New Hyde Park