Active NPI
Jacob Leigh, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Cedarhurst, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 006965
- Practice address
- 650 Central Ave Ste C
Cedarhurst, NY 11516-2301 - Phone
- (516) 295-3338
- NPI assigned
- May 19, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | N006965 | NY | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 006965 | NY | Primary |
Addresses
Primary practice location
650 Central Ave Ste C
Cedarhurst, NY 11516-2301
Mailing address
650 Central Ave Ste C
Cedarhurst, NY 11516-2301
Other practice location 1
327 Beach 19th St
Far Rockaway, NY 11691-4423
Phone (718) 869-7000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| N006965 | Other | NY | NYS LICENSE |
Medicare participation
Medicare enrollment files- 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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190808000173 | NY | Practitioner - Podiatry | 4082941497 |
Reassigns benefits to 3 organizations Practice locations: Cedarhurst, NY; Far Rockaway, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Temple University School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kanghan Medical Services, P.C.Atm Foot Care, PLLC
Practice addresses (Care Compare)
19214 Northern Blvd
2D
Flushing, NY 11358-2955
Phone (718) 762-3240
327 Beach 19TH St
Far Rockaway, NY 11691-4423
Phone (516) 295-3338
650 Central Ave
Suite C
Cedarhurst, NY 11516-2301
Phone (516) 295-3338
8708 Justice Ave
Suite CX
Elmhurst, NY 11373-8715
Phone (718) 446-4230
Hospital & facility affiliations
- St John'S Episcopal Hospital at South Shore
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 34 |
| Removal of skin lesions | 15 |
| Removal of nail tissue | 479 |
| Removal or shaving of skin growth | 53 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006965 | NY | MD | Foot & Ankle Surgery Podiatrist |
| N006965 | NY | MD | Foot & Ankle Surgery Podiatrist |
Practice roles (3 of 4)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atm Foot Care, PLLC | Foot & Ankle Surgery | Current | Accepting new patients |
| Veritas Podiatry PLLC | Foot & Ankle Surgery | Current | Accepting new patients |
| St John'S Medical Services PC | Current | Accepting new patients |
Locations
650 Central Ave
Ste C
Cedarhurst, NY 11516
Phone (225) 333-8618
8708 Justice Ave
Ste Cx
Elmhurst, NY 11373
Phone (718) 446-4230
327 Beach 19th St
Far Rockaway, NY 11691
Phone (718) 689-7640
Networks
- Healthfirst Medicare Network H3359
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FAACBD/Endpoint/FAACBD
- https://api.platform.athenahealth.com/14448/brand/1/csg/1/fhir/r4
- https://fhir4.healow.com/fhir/r4/FAACBD
Organizations & group practices 4
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.
-
- Foot & Ankle Surgery Podiatrist
- Cedarhurst, NY
- NPI 1073814166
Foot & Ankle Surgery, NY
-
- Foot & Ankle Surgery Podiatrist
- Elmhurst, NY
- NPI 1881554269
Foot & Ankle Surgery, NY
-
- Internal Medicine Physician
- Far Rockaway, NY
- NPI 1023042173
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574812800000",
"number": "1134576010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 CENTRAL AVE STE C",
"city": "CEDARHURST",
"state": "NY",
"postal_code": "115162301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 CENTRAL AVE STE C",
"city": "CEDARHURST",
"state": "NY",
"postal_code": "115162301",
"telephone_number": "516-295-3338"
}
],
"practiceLocations": [
{
"address_1": "327 Beach 19th St",
"address_purpose": "LOCATION",
"city": "Far Rockaway",
"state": "NY",
"postal_code": "116914423",
"country_code": "US",
"telephone_number": "718-869-7000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEIGH",
"first_name": "JACOB",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-05-19",
"last_updated": "2019-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NY",
"license": "N006965",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NY",
"license": "006965",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NYS LICENSE",
"identifier": "N006965",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cedarhurst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2019; 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.