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

Lucas Levin

Individual provider Medical Physician Assistant · NPI 1104550318

Lucas Levin is a Physician Assistant in Mineola, New York. Qualified in 2022, 4 years ago. Practices with New York University, a 5,884-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
4
Licensed in
NY
In the registry since
2022

Practice location Address checks out

259 1st St
Mineola, NY 11501-3957
Phone: (516) 320-3914
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X (NY)

Record details

NPI number1104550318
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 13, 2022
Last updated in NPPESJuly 13, 2022
Certification dateJuly 13, 2022
Mailing address259 1st St, Mineola, NY 11501-3957

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice New York University — 5884 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Mineola