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

Kelly Ann Levine, PA

Individual provider Physician Assistant · NPI 1730475278

Kelly Ann Levine, PA is a Physician Assistant in Mineola, New York. Graduated from Touro Un Col of Osteopathic Medicine, New York in 2003, 23 years ago. Practices with New York University, a 5,884-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
23
Trained at
Touro Un Col of Osteopathic Medicine, New York
Licensed in
NY
In the registry since
2011
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

200 Old Country Rd
Mineola, NY 11501
Phone: (516) 294-5440
Fax: (516) 294-1206
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 009741-1 (NY)

Record details

NPI number1730475278
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 23, 2011
Last updated in NPPESFebruary 12, 2021
Certification dateFebruary 12, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolTOURO UN COL OF OSTEOPATHIC MEDICINE, NEW YORK
Graduated 2003 (23 years in practice)
Group practice New York University — 5884 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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