Organization Active NPI

Andrew Leo MD PC

  • Orthopaedic Surgery Physician
  • Smithtown, NY
National Provider Identifier
1154632479
Registry record updated Jul 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
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

Updated by the provider on Jul 1, 2010

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)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X Primary
Orthopaedic Hand Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.