Organization Active NPI

Luz del Carmen Cespedes MD, PLLC

  • Primary Care Clinic/Center
  • Huntington Station, NY
National Provider Identifier
1093877219
Registry record updated Jan 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
229149 Issued in NY
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

Updated by the provider on Jan 9, 2008

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

Authorized official

Name
Dr. Leslie C Cespedes, MDNPI 1992765028
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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060201000913 NY Part B Supplier - Clinic/Group Practice 2264446947 Receives reassigned benefits from 3 practitioners
Practice locations: Huntington Station, NY

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.