Active NPI
Leonard A Haas, MD
- Pediatric Gastroenterology Physician
- New Hyde Park, NY
National Provider Identifier
1073019584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Gastroenterology Physician
- License
- 330110
- Practice address
- 2800 Marcus Ave Ste 201
New Hyde Park, NY 11042-1113 - Phone
- (516) 622-6076
- Fax
- (470) 275-0726
- NPI assigned
- Apr 3, 2018
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pediatric Gastroenterology Physician | 2080P0206X | 330110 | NY | Primary |
Addresses
Primary practice location
2800 Marcus Ave Ste 201
New Hyde Park, NY 11042-1113
Mailing address
2800 Marcus Ave Ste 201
New Hyde Park, NY 11042-1113
Phone (516) 622-6076
Other practice location 1
165 N Village Ave Ste 215
Rockville Centre, NY 11570-3701
Phone (516) 622-6076
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240624000592 | NY | Practitioner - Pediatric Medicine | 8022486646 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 330110 | NY | MD | Pediatric Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Medical Care, P.C. | Current | Accepting new patients | |
| Optum Medical Care, P.C. | Current | Accepting new patients | |
| Mount Kisco Medical Group | Past | Accepting new patients |
Locations
2322 30th Ave
Astoria, NY 11102
Phone (718) 267-2763
90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050
Philadelphia, PA 19195
Interoperability endpoints
- lhaas116560@direct.optum.com
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.
-
- Durable Medical Equipment & Medical Supplies
- New Hyde Park, NY
- NPI 1053190595
-
- Hematology (Internal Medicine) Physician
- Fishkill, NY
- NPI 1952356362
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772323200000",
"number": "1073019584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2800 MARCUS AVE STE 201",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110421113",
"telephone_number": "516-622-6076",
"fax_number": "516-622-6075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 MARCUS AVE STE 201",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110421113",
"telephone_number": "516-622-6076",
"fax_number": "470-275-0726"
}
],
"practiceLocations": [
{
"address_1": "165 N Village Ave Ste 215",
"address_purpose": "LOCATION",
"city": "Rockville Centre",
"state": "NY",
"postal_code": "115703701",
"country_code": "US",
"telephone_number": "516-622-6076",
"fax_number": "516-622-6075",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAAS",
"first_name": "LEONARD",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-03",
"last_updated": "2026-03-01",
"certification_date": "2026-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0206X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": "NY",
"license": "330110",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Hyde Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.