ELLEN LEVAN (M.D.) – Internal Medicine Physician, NPI 1710960927

ELLEN LEVAN (M.D.) is a healthcare provider. based in Fair lawn, New Jersey. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 25MA07184800 (NJ). The NPI Number for ELLEN LEVAN (M.D.) is 1710960927

Main info

Female
Sole Proprietor
44 Years Of Experience
Accepts Medicare Assignment
Name
ELLEN LEVAN (M.D.)
NPI
1710960927
Phone
(201) 791-9340
Address
26-01 PELLACK DRIVE
Enumeration Date
22 November 2005
Last Update Date
24 October 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2018644477
Graduation Year
1982 (44 years ago)
PAC ID
6507755055
Group Practice PAC ID
4284647868
Professional Enrollment ID
I20040408000054
Address ID
NJ070874994UN408XXSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

6,910 INTERNAL MEDICINE in NJ

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Provider Addresses for ELLEN LEVAN (M.D.)

  • Pellack Drive, Warren Point, Fair Lawn, Bergen County, New Jersey, 07410, United States

    2ND FLOOR

    FAIR LAWN, NJ 07410

    Phone: (201) 791-9340

    Fax: (201) 791-9481

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 68 Open Payments records for all available years, with a total value of $1,018.

Total Amount is formed as General ($1,018) + Research ($0) + Ownership ($0) = $1,018.

Last reported payment date: 2024-11-13 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($220).

Total Amount

$1,018

General + Research + Ownership

Payments

68

Total payment records

General Amount

$1,018

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-13

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-04-08

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040408000054IInternal MedicineNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes257118$0
99214Established patient office or other outpatient visit, 30-39 minutes191104$0
96372Injection of drug or substance under skin or into muscle15120$0
J3420Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg15018$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit131131$0
View full utilization report →

Insurance plans in this area (ZIP 07410)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4284647868View full group profile
NameSpecialtyState
Family PracticeNJ
Internal MedicineNJ
U R O L O G YPA
Nurse PractitionerNJ
Nurse PractitionerFL
-AR
-NJ
General SurgeryNJ
-NJ
Nurse PractitionerNJ

Reviews

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Frequently asked questions

Where can patients find ELLEN LEVAN (M.D.)'s NPI?
You can confirm ELLEN LEVAN (M.D.) with NPI 1710960927; it appears in the national provider directory.
Is ELLEN LEVAN (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does ELLEN LEVAN (M.D.) list a primary specialty?
If you are matching referrals, note Internal Medicine Physician for ELLEN LEVAN (M.D.). Clinical services aligned with this taxonomy classification.
What location shows for ELLEN LEVAN (M.D.)?
We surface Fair Lawn, New Jersey for ELLEN LEVAN (M.D.) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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