Active NPI
Leyla C Escudero
- Dentist
- Elmhurst, NY
National Provider Identifier
1033190855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 043063
- Practice address
- 40-33 76TH St
Suite No 4D
Elmhurst, NY 11373 - Phone
- (718) 458-7426
- Fax
- (718) 672-5591
- NPI assigned
- Nov 9, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 043063 | NY | Primary |
Addresses
Primary practice location
40-33 76TH St
Suite No 4D
Elmhurst, NY 11373
Mailing address
37-10 76TH St
Apt 4D
Jackson Heights, NY 11372
Phone (718) 458-0361
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9177351 | Other | NY | DORAL |
| 01239261 | Medicaid | NY | |
| 02303 | Other | NY | GUARDIAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 043063 | NY | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1033190855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37-10 76TH ST",
"address_2": "APT 4D",
"city": "JACKSON HEIGHTS",
"state": "NY",
"postal_code": "11372",
"telephone_number": "718-458-0361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40-33 76TH ST",
"address_2": "SUITE NO 4D",
"city": "ELMHURST",
"state": "NY",
"postal_code": "11373",
"telephone_number": "718-458-7426",
"fax_number": "718-672-5591"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESCUDERO",
"first_name": "LEYLA",
"middle_name": "C",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-09",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "043063",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DORAL",
"identifier": "9177351",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01239261",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GUARDIAN",
"identifier": "02303",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Elmhurst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.