Active NPI
Austin Leong, D.D.S.
- Prosthodontics
- Cherry Hill, NJ
National Provider Identifier
1215348412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 22DI02617400
- Practice address
- 1793 Springdale Rd
Cherry Hill, NJ 08003-2148 - Phone
- (856) 424-7177
- NPI assigned
- May 12, 2014
- Last updated
- Aug 23, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 057243 | NY | |
| Prosthodontics | 1223P0700X | 22DI02617400 | NJ | Primary |
| Prosthodontics | 1223P0700X | DS040932 | PA |
Addresses
Primary practice location
1793 Springdale Rd
Cherry Hill, NJ 08003-2148
Mailing address
1793 Springdale Rd
Cherry Hill, NJ 08003-2148
Phone (856) 424-7177
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 |
|---|---|---|---|
| 22DI02617400 | NJ | MD | Prosthodontist |
| 057243 | NY | MD | Prosthodontist |
| DS040932 | PA | MD | Prosthodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471910400000",
"number": "1215348412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1793 SPRINGDALE RD",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080032148",
"telephone_number": "856-424-7177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1793 SPRINGDALE RD",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080032148",
"telephone_number": "856-424-7177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEONG",
"first_name": "AUSTIN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-05-12",
"last_updated": "2016-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "NY",
"license": "057243",
"primary": false
},
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "NJ",
"license": "22DI02617400",
"primary": true
},
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "PA",
"license": "DS040932",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cherry Hill, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.