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

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