Active NPI
Andrew Leo MD PC
- Orthopaedic Surgery Physician
- Smithtown, NY
National Provider Identifier
1154632479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- ANDREW LEO MD PC
- Practice address
- 290 E Main St Ste 200
Smithtown, NY 11787-2916 - Phone
- (631) 361-5302
- Fax
- (631) 361-8607
- NPI assigned
- Jul 1, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andrew J Leo, MD
- Title
- MD
- Phone
- (631) 361-5302
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary | ||
| Orthopaedic Hand Surgery Physician | 207XS0106X |
Addresses
Primary practice location
290 E Main St Ste 200
Smithtown, NY 11787-2916
Mailing address
290 E Main St Ste 200
Smithtown, NY 11787-2916
Phone (631) 361-5302
National Provider Directory
National Provider DirectoryLocations
66 Harned Rd
Commack, NY 11725
Phone (631) 543-8577
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277942400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1277942400000",
"number": "1154632479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "290 E MAIN ST STE 200",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117872916",
"telephone_number": "631-361-5302",
"fax_number": "631-361-8607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "290 E MAIN ST STE 200",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117872916",
"telephone_number": "631-361-5302",
"fax_number": "631-361-8607"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANDREW LEO MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2010-07-01",
"last_updated": "2010-07-01",
"status": "A",
"authorized_official_last_name": "LEO",
"authorized_official_first_name": "ANDREW",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "631-361-5302",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "207XS0106X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Smithtown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.