NPIMap

Individual provider Active NPI

Leonard J Emma, MD

  • Obstetrics & Gynecology Physician
  • Staten Island, NY
National Provider Identifier
1063524353
Registry record updated Nov 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
158738 Issued in NY
Practice address
1775 Richmond Ave
Staten Island, NY 10314
Phone
(914) 305-4633
Fax
(914) 305-5587
NPI assigned
Aug 31, 2006
Last updated
Nov 30, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 158738 NY Primary

Addresses

Primary practice location

1775 Richmond Ave
Staten Island, NY 10314

Mailing address

PO Box 141284
Staten Island, NY 10314
Phone (914) 305-4633

Other identifiers 1

IdentifierTypeStateIssuer
00979075MedicaidNY

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
158738NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jal 28 LLC Past Accepting new patients
Park Slope Obstetrics & Gynecology, P.C. Obstetrics & Gynecology Past Accepting new patients
Boulevard Multispecialty Medical PC PastSince Jan 13, 1996 Accepting new patients
Richmond University Medical Center Past Accepting new patients
Mermaid Management Inc PastSince Jul 1, 2016 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: leonard.emma@merrylandhealth.ehi.direct-ci.com

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291075200000",
    "number": "1063524353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 141284",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10314",
            "telephone_number": "914-305-4633",
            "fax_number": "914-305-5587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 RICHMOND AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10314",
            "telephone_number": "914-305-4633",
            "fax_number": "914-305-5587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMMA",
        "first_name": "LEONARD",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2010-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "158738",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00979075",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2010; 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.