Leonard Dzubow Ambulatory Surgical Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

16731501 Issued in PA

Legal business name

LEONARD DZUBOW AMBULATORY SURGICAL CENTER LLC

Practice address

101 Chesley Dr
Media, PA 19063-1761

Phone

(484) 621-0082

Fax

(484) 621-0083

NPI assigned

Aug 31, 2005

Last updated

Jun 11, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Leonard Mark Dzubow, MDNPI 1790778199

Title

President

Phone

(484) 621-0082

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Leonard Mark Dzubow, MD

  • MOHS-Micrographic Surgery Physician
  • Media, PA
  • NPI 1790778199
  Authorized official Same address or phone

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402444800000",
    "number": "1194718593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 CHESLEY DR",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190631761",
            "telephone_number": "484-621-0082",
            "fax_number": "484-621-0083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CHESLEY DR",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190631761",
            "telephone_number": "484-621-0082",
            "fax_number": "484-621-0083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEONARD DZUBOW AMBULATORY SURGICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-31",
        "last_updated": "2014-06-11",
        "status": "A",
        "authorized_official_last_name": "DZUBOW",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "484-621-0082",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "PA",
            "license": "16731501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shebena Leji
• Jennifer Lynn Leman, PA-C
• Lynda Lemisch
• Ari Lenchner, R.AC.
• Leon M Mielcarek Jr MD PC (Mielcarek Eye Associates)
• Leonard Dzubow MD PC
• Leunissen & Leunissen P.C. (Medical Cardiology Associates)
• George M. Leute III
• Elizabeth Leveire, RBT
• Scott Eric Levy, D.D.S.

• Ambulatory Surgical Clinic/Center in Media, PA
• Providers in Media, PA by specialty
• Ambulatory Surgical Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2014; 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.