Jennifer Anne Leibstein

Primary specialty

SpecialistTaxonomy code 174400000X

License

$$$$$$$$$ Issued in NY

Practice address

25 Royalston LN
South Setauket, NY 11720-1414

Phone

(631) 346-1181

NPI assigned

Oct 12, 2022

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1665532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1114643186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 ROYALSTON LN",
            "city": "SOUTH SETAUKET",
            "state": "NY",
            "postal_code": "117201414",
            "telephone_number": "631-346-1181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 ROYALSTON LN",
            "city": "SOUTH SETAUKET",
            "state": "NY",
            "postal_code": "117201414",
            "telephone_number": "631-346-1181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIBSTEIN",
        "first_name": "JENNIFER",
        "middle_name": "ANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-12",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "$$$$$$$$$",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Kunkel, ATC
• Graciela Lafferty
• Justine Larsen
• Amy Danielle Larusso
• Jennifer Lauren-Thamm, RPH
• Sara J Levinbook, LCSW
• David Lin, DDS
• Lisa a Nelson NP-Psychiatry
• Alicia Lynn Lyles, M.S., CCC-SLP
• Dana Jean Mancuso, RPA-C, MFT

• Specialist in South Setauket, NY
• Providers in South Setauket, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; 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.