Individual provider Active NPI

Angela Marie Leo, DO

  • Dermatology Physician
  • New York, NY
National Provider Identifier
1003084138
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
251544-1 Issued in NY
Practice address
315 Church St FL 2
New York, NY 10013-2442
Phone
(212) 334-3774
NPI assigned
Feb 11, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 251544-1 NY Primary

Addresses

Primary practice location

315 Church St FL 2
New York, NY 10013-2442

Mailing address

315 Church St FL 2
New York, NY 10013-2442
Phone (212) 334-3774

Other names 1

  • Dr. Angela Marie Leo-Nieberg Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100218000004 NY Practitioner - Dermatology 1456495290 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sherwin K Parikh MD PCGroup PAC ID 5890842132, 5 clinicians

Practice addresses (Care Compare)

315 Church St
FL 2
New York, NY 10013-2442
Phone (212) 334-3774

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions107
Skin biopsy27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Sherwin K Parikh MD PC Dermatology CurrentSince Feb 25, 2010 Accepting new patients
Dr Stuart R Levine Dermatology and Dermatologic Surgery PC Dermatology PastSince Sep 9, 2010 Accepting new patients

Locations

315 Church St
Fl 2
New York, NY 10013
Phone (212) 334-3774

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: aleo@directaddress.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1003084138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 CHURCH ST FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100132442",
            "telephone_number": "212-334-3774",
            "fax_number": "212-320-0474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 CHURCH ST FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100132442",
            "telephone_number": "212-334-3774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEO",
        "first_name": "ANGELA",
        "middle_name": "MARIE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-11",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "251544-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "LEO-NIEBERG",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "credential": "DO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.