Active NPI
Leland Jay Snaider
- Rehabilitation Chiropractor
- Smyrna, GA
National Provider Identifier
1164062717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- 2332245
- Practice address
- 1898 Spring Rd SE
Smyrna, GA 30080-2559 - Phone
- (516) 996-0048
- NPI assigned
- Jan 12, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | 2332245 | NJ | Primary |
Addresses
Primary practice location
1898 Spring Rd SE
Smyrna, GA 30080-2559
Mailing address
150 E 69TH St
New York, NY 10021-5704
Phone (516) 996-0048
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 387886545 | Other | NY | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2332245 | NJ | MD | Rehabilitation Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680998400000",
"number": "1164062717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 E 69TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100215704",
"telephone_number": "516-996-0048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1898 SPRING RD SE",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300802559",
"telephone_number": "516-996-0048"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNAIDER",
"first_name": "LELAND",
"middle_name": "JAY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-01-12",
"last_updated": "2023-04-09",
"certification_date": "2023-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "NJ",
"license": "2332245",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "387886545",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Smyrna, GA
- Smyrna Integrated Health
- Smyrna Medical and Physical Therapy, LLC
- Smyrna Medical Associates, PC
- Smyrna Oral and Maxillofacial Surgery and Implantology Center, LLC
- Smyrna Orthopaedic & Sports Medicine Center, PC
- Patrick H Sneed, MPT
- Shayla Finley Snipes, LCSW
- Amber Snyder, PEER SPECIALIST
- Sobel Medical Solutions LLC
- Brad Sobel
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.