Active NPI
Luz del Carmen Cespedes MD, PLLC
- Primary Care Clinic/Center
- Huntington Station, NY
National Provider Identifier
1093877219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 229149
- Legal business name
- LUZ DEL CARMEN CESPEDES MD, PLLC
- Doing business as
- Cespedes & Cespedes MD, PLLC
- Practice address
- 33 Walt Whitman Rd Ste 240
Huntington Station, NY 11746-4297 - Phone
- (631) 470-4720
- Fax
- (631) 470-4721
- NPI assigned
- Dec 14, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Leslie C Cespedes, MD
- Title
- Internal Medicine
- Phone
- (631) 470-4720
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 229149 | NY | Primary |
| Primary Care Clinic/Center | 261QP2300X | 225451 | NY |
Addresses
Primary practice location
33 Walt Whitman Rd Ste 240
Huntington Station, NY 11746-4297
Mailing address
PO Box 20572
Huntington Station, NY 11746-0864
Phone (631) 470-4720
Other names 1
- Cespedes & Cespedes MD, PLLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
468 Suffolk Ave
Brentwood, NY 11717
Phone (631) 231-2157
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Huntington Station, NY
- NPI 1992765028
-
- Physical Therapist
- Bronx, NY
- NPI 1336369016
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1199836800000",
"number": "1093877219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 20572",
"city": "HUNTINGTON STATION",
"state": "NY",
"postal_code": "117460864",
"telephone_number": "631-470-4720",
"fax_number": "631-470-4721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 WALT WHITMAN RD STE 240",
"city": "HUNTINGTON STATION",
"state": "NY",
"postal_code": "117464297",
"telephone_number": "631-470-4720",
"fax_number": "631-470-4721"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUZ DEL CARMEN CESPEDES MD, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-14",
"last_updated": "2008-01-09",
"status": "A",
"authorized_official_last_name": "CESPEDES",
"authorized_official_first_name": "LESLIE",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "INTERNAL MEDICINE",
"authorized_official_telephone_number": "631-470-4720",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "NY",
"license": "229149",
"primary": true
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "NY",
"license": "225451",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Cespedes & Cespedes MD, PLLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Huntington Station, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.