Mark Robert Leiter, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

NOO4255-1 Issued in NY

Practice address

107 Ocean Ave
Woodmere, NY 11598-1440

Phone

(515) 382-3470

Fax

(516) 569-7564

NPI assigned

May 16, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Mark Leiter Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Coney Island Medical Services PC

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1174870059

  Podiatrist

  NPD (past)

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197244800000",
    "number": "1174730592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 OCEAN AVE",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981440",
            "telephone_number": "515-382-3470",
            "fax_number": "516-569-7564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 OCEAN AVE",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981440",
            "telephone_number": "515-382-3470",
            "fax_number": "516-569-7564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEITER",
        "first_name": "MARK",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-16",
        "last_updated": "2007-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "NOO4255-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01039005",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARK",
            "last_name": "LEITER",
            "prefix": "DR.",
            "credential": "D.P.M.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Marie Ledbetter
• Roberta Lee Leffler-Kluger
• Caroline Leger, MA OTR/L
• Cindy Leinwand, LCSW, CASAC
• Temima Leah Leiser, FNP
• Hawi Teshome Lemma
• Carol Sarah Lempel, PH.D.
• Leo Menkes Medical PC
• Leonard E Schiffman DMD PC
• Leslie Jeanniton Physical Therapist P.C.

• Podiatrist in Woodmere, NY
• Providers in Woodmere, NY by specialty
• Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2007; 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.