Individual provider Active NPI

Marina Jean Leonardos, P.A.

  • Medical Physician Assistant
  • New York, NY
National Provider Identifier
1184748931
Registry record updated Dec 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
003250 Issued in NY
Practice address
83 Maiden Lane 6TH Floor
Ahrc Healthcare Inc. D/B/a. Access Community Health Ctr
New York, NY 10038-4812
Phone
(212) 780-2378
Fax
(212) 505-0724
NPI assigned
Mar 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 003250 NY Primary

Addresses

Primary practice location

83 Maiden Lane 6TH Floor
Ahrc Healthcare Inc. D/B/a. Access Community Health Ctr
New York, NY 10038-4812

Mailing address

83 Maiden Lane 6TH Floor
Ahrc Healthcare Inc. D/B/a. Access Community Health Ctr
New York, NY 10038-4812
Phone (212) 780-2378

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)
Enrolled
Credentials
Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291248000000",
    "number": "1184748931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 MAIDEN LANE 6TH FLOOR",
            "address_2": "AHRC HEALTHCARE INC. D/B/A. ACCESS COMMUNITY HEALTH CTR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100384812",
            "telephone_number": "212-780-2378",
            "fax_number": "212-505-0724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 MAIDEN LANE 6TH FLOOR",
            "address_2": "AHRC HEALTHCARE INC. D/B/A. ACCESS COMMUNITY HEALTH CTR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100384812",
            "telephone_number": "212-780-2378",
            "fax_number": "212-505-0724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONARDOS",
        "first_name": "MARINA",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2010-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "003250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.