Individual provider Active NPI

Benjamin Leeman

  • Pulmonary Disease Physician
  • Valley Stream, NY
National Provider Identifier
1174513998
Registry record updated Oct 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
182442 Issued in NY
Practice address
20 W Lincoln Ave
Valley Stream, NY 11580-5730
Phone
(516) 599-8787
NPI assigned
Oct 24, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 182442 NY Primary

Addresses

Primary practice location

20 W Lincoln Ave
Valley Stream, NY 11580-5730

Mailing address

20 W Lincoln Ave
Valley Stream, NY 11580-5730
Phone (516) 599-8787

Other identifiers 1

IdentifierTypeStateIssuer
01295078MedicaidNY

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051212000641 NY Practitioner - Internal MedicinePractitioner - Pulmonary Disease 7810918372 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pulmonary Disease
Education
State University of New York at Stony Brook, School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

20 W Lincoln Ave
Suite 306
Valley Stream, NY 11580-5732
Phone (516) 599-8787

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Benjamin J Leeman MD PC Pulmonary Disease CurrentSince Jul 1, 2002 Accepting new patients

Locations

20 W Lincoln Ave
Ste 306
Valley Stream, NY 11580
Phone (516) 599-8787

20 W Lincoln Ave
Valley Stream, NY 11580
Phone (516) 599-8787

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286496000000",
    "number": "1174513998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 W LINCOLN AVE",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115805730",
            "telephone_number": "516-599-8787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 W LINCOLN AVE",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115805730",
            "telephone_number": "516-599-8787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEEMAN",
        "first_name": "BENJAMIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2010-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "182442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01295078",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Stream, NY

Sources for this page

Verify at the official NPI Registry.