Active NPI
Faith Leslie Leffel, RPA C
- Dermatology Physician
- Smithtown, NY
National Provider Identifier
1205901683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 006627 1
- Practice address
- 327 E Main St
Smithtown, NY 11787-2905 - Phone
- (631) 979-0909
- Fax
- (631) 979-0455
- NPI assigned
- Nov 21, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 006627 1 | NY | Primary |
Addresses
Primary practice location
327 E Main St
Smithtown, NY 11787-2905
Mailing address
327 E Middle Country Rd
Smithtown, NY 11787-2905
Phone (631) 979-0909
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006627 1 | NY | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Laserderm Dermatology & Cosmetic Laser Surgery | Past | Accepting new patients |
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.
-
- Dermatopathology Physician
- Smithtown, NY
- NPI 1942150131
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489536000000",
"number": "1205901683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "327 E MIDDLE COUNTRY RD",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117872905",
"telephone_number": "631-979-0909",
"fax_number": "631-979-0455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "327 E MAIN ST",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117872905",
"telephone_number": "631-979-0909",
"fax_number": "631-979-0455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEFFEL",
"first_name": "FAITH",
"middle_name": "LESLIE",
"credential": "RPA C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-21",
"last_updated": "2017-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NY",
"license": "006627 1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Smithtown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.