Individual provider Active NPI

John J Leppard, MD

  • Orthopaedic Surgery Physician
  • Woodbury, NY
National Provider Identifier
1184647497
Registry record updated Nov 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
128654 Issued in NY
Practice address
205 Froehlich Farm Blvd
Woodbury, NY 11797-2931
Phone
(516) 364-0070
Fax
(516) 364-0242
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 128654 NY Primary

Addresses

Primary practice location

205 Froehlich Farm Blvd
Woodbury, NY 11797-2931

Mailing address

205 Froehlich Farm Blvd
Woodbury, NY 11797-2931
Phone (516) 364-0070

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
I20100327000535 NY Practitioner - Orthopedic Surgery 8921149923 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
128654NYMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Island Orthopedics, P.C. Orthopaedic Surgery CurrentSince Oct 12, 2020 Accepting new patients
South Island Orthopedics, P.C. Orthopaedic Surgery CurrentSince Oct 12, 2020 Accepting new patients

Locations

657 Central Ave
Cedarhurst, NY 11516
Phone (516) 374-0670

205 Froehlich Farm Blvd
Woodbury, NY 11797
Phone (516) 364-0070

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20311/brand/2/csg/21/fhir/r4

Organizations & group practices 2

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384300800000",
    "number": "1184647497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 FROEHLICH FARM BLVD",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117972931",
            "telephone_number": "516-364-0070",
            "fax_number": "516-364-0242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 FROEHLICH FARM BLVD",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117972931",
            "telephone_number": "516-364-0070",
            "fax_number": "516-364-0242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEPPARD",
        "first_name": "JOHN",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2013-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "128654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, NY

Sources for this page

Verify at the official NPI Registry.