Active NPI
Ezequiel De Leon, NP
- Nurse Practitioner
- Milford, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN2337287
- Practice address
- 117 Water St
Milford, MA 01757-3036 - Phone
- (508) 478-4500
- Fax
- (508) 478-5235
- NPI assigned
- May 11, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN2337287 | MA | Primary |
Addresses
Primary practice location
117 Water St
Milford, MA 01757-3036
Mailing address
455A Lake Ave
Worcester, MA 01604-1366
Phone (774) 287-0033
Other practice location 1
1280 W Central St Ste 301
Franklin, MA 02038-3110
Phone (508) 528-2700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110091343A | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of Massachusetts Medical School, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
117 Water St
Milford, MA 01757-3036
Phone (508) 478-4500
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2337287 | MA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Milford Regional Physician Group, Inc. | Current | Accepting new patients | |
| Umass Memorial Medical Group Inc | Nurse Practitioner | Current | Accepting new patients |
| Milford Regional Physician Group, Inc. | Current | Accepting new patients | |
| Milford Regional Physician Group, Inc. | Current | Accepting new patients | |
| Umass Memorial Medical Group, Inc. | Current | Accepting new patients |
Locations
1280 W Central St
Ste 301
Franklin, MA 02038
Phone (508) 528-2700
9 Industrial Rd
Ste 5
Milford, MA 01757
Phone (508) 473-1480
117 Water St
Milford, MA 01757
Phone (508) 478-4500
308 Main St
Milford, MA 01757
Phone (508) 478-0555
100 Medway Rd
Ste 401
Milford, MA 01757
Phone (508) 634-7338
55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862
Interoperability endpoints
- ezequiel.de.leon.1@24697.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Milford, MA
- NPI 1902856024
-
- Internal Medicine Physician
- Worcester, MA
- NPI 1760445373
Nurse Practitioner
-
- Cardiovascular Disease Physician
- Milford, MA
- NPI 1285031039
-
- Sports Medicine (Family Medicine) Physician
- Medway, MA
- NPI 1508681321
-
- Urgent Care Clinic/Center
- Oxford, MA
- NPI 1982381018
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Milford, MA
- NPI 1477527497
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775606400000",
"number": "1124764238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "455A LAKE AVE",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016041366",
"telephone_number": "774-287-0033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 WATER ST",
"city": "MILFORD",
"state": "MA",
"postal_code": "017573036",
"telephone_number": "508-478-4500",
"fax_number": "508-478-5235"
}
],
"practiceLocations": [
{
"address_1": "1280 W Central St Ste 301",
"address_purpose": "LOCATION",
"city": "Franklin",
"state": "MA",
"postal_code": "020383110",
"country_code": "US",
"telephone_number": "508-528-2700",
"fax_number": "508-528-5759",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DE LEON",
"first_name": "EZEQUIEL",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-05-11",
"last_updated": "2026-04-08",
"certification_date": "2026-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MA",
"license": "RN2337287",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110091343A",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Milford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.