Individual provider Active NPI

Paulina De Leon

  • Phlebotomy Technician
  • Bronx, NY
National Provider Identifier
1043094477
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
License
G8Z4W5L4 Issued in NY
Practice address
2187 Cruger Ave Apt 4L
Bronx, NY 10462-1535
Phone
(347) 755-5831
NPI assigned
Aug 24, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebotomy Technician 246RP1900X G8Z4W5L4 NY Primary

Addresses

Primary practice location

2187 Cruger Ave Apt 4L
Bronx, NY 10462-1535

Mailing address

1506 Castle Hill Ave FL 2
Bronx, NY 10462-4210
Phone (347) 755-5831

Other practice location 1

2187 Cruger Ave Apt 4L
Bronx, NY 10462-1535
Phone (347) 755-5831

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

LicenseStateTypeSpecialty
G8Z4W5L4NYMDPhlebotomy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Dna Apex LLC CurrentSince Sep 5, 2023 Accepting new patients
Vita Mobile Care LLC Phlebotomy Current Accepting new patients
Heart to Heart Mobile Care Phlebotomy CurrentSince Sep 5, 2023 Accepting new patients

Locations

1506 Castle Hill Ave
Fl 2
Bronx, NY 10462
Phone (347) 755-5831

Organizations & group practices 3

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": "1692835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1043094477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1506 CASTLE HILL AVE FL 2",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104624210",
            "telephone_number": "347-755-5831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2187 CRUGER AVE APT 4L",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104621535",
            "telephone_number": "347-755-5831"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2187 Cruger Ave Apt 4L",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104621535",
            "country_code": "US",
            "telephone_number": "347-755-5831",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE LEON",
        "first_name": "PAULINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-24",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "NY",
            "license": "G8Z4W5L4",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.