NPIMap

Organization Active NPI

Leo M. Keegan MD, PLLC

  • Plastic Surgery Physician
  • New York, NY
National Provider Identifier
1124393442
Registry record updated Mar 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
172658 Issued in NY
Legal business name
LEO M. KEEGAN MD, PLLC
Practice address
1125 5TH Ave
New York, NY 10128-0143
Phone
(212) 288-9800
Fax
(212) 860-7446
NPI assigned
Mar 20, 2012
Last updated
Mar 20, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2012

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

Authorized official

Name
Dr. Leo Keegan, MDNPI 1114934783
Title
Member
Phone
(212) 288-9800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X 172658 NY Primary

Addresses

Primary practice location

1125 5TH Ave
New York, NY 10128-0143

Mailing address

1125 5TH Ave
New York, NY 10128-0143
Phone (212) 288-9800

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1332201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332201600000",
    "number": "1124393442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 5TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101280143",
            "telephone_number": "212-288-9800",
            "fax_number": "212-860-7446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 5TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101280143",
            "telephone_number": "212-288-9800",
            "fax_number": "212-860-7446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEO M. KEEGAN MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-20",
        "last_updated": "2012-03-20",
        "status": "A",
        "authorized_official_last_name": "KEEGAN",
        "authorized_official_first_name": "LEO",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "212-288-9800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "NY",
            "license": "172658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2012; 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.