Marisa Orense Leonardo, RPAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

012289-1 Issued in NY

Practice address

71 Metropolitan Oval
Bronx, NY 10462

Phone

(718) 829-6436

NPI assigned

Dec 26, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• City Medical Healthcare Associates PLLC

  • Internal Medicine Physician
  • New York, NY
  • NPI 1093357568
  Medicare reassignment
• Boro Medical, P.C.

  • Surgical Physician Assistant
  • Bronx, NY
  • NPI 1528086584
  NPD (past)
• Lifeco Medical, P.C.

  • Emergency Medicine Physician
  • Forest Hills, NY
  • NPI 1922031905
  NPD (past)
• Shirish Patel Medical P.C.

  • Pulmonary Disease Physician
  • Astoria, NY
  • NPI 1497058853
  NPD (past)

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

{
    "created_epoch": "1198627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219276800000",
    "number": "1104000231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 WINDSOR ST",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115905945",
            "telephone_number": "516-334-5294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 METROPOLITAN OVAL",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10462",
            "telephone_number": "718-829-6436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONARDO",
        "first_name": "MARISA",
        "middle_name": "ORENSE",
        "name_prefix": "Ms.",
        "credential": "RPAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-26",
        "last_updated": "2008-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "012289-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Frances Leonard, L.C.S.W.
• Niesha Leonard, BCBA, LBA-NY
• Stephen Charles Leonard, OT
• Todd M Leonard, LCSW
• Fabiola Leonardo
• Christopher Olaf Leonards, MD
• Alyssa Leone, M.A., CCC-SLP, TSSLD
• Laura Ann Leone, LMSW
• Jodi Lynn Leonforte, CLC
• Jonathan Leong, MD

• Physician Assistant in Bronx, NY
• Providers in Bronx, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2008; 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.

Verify at the official NPI Registry.