Gustavo Adolfo Leon Giron

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

023999-01 Issued in NY

Practice address

12510 Queens Blvd Ste 218
Kew Gardens, NY 11415-1506

Phone

(718) 593-4121

Fax

(718) 268-2646

NPI assigned

Jun 9, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1465430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1215386339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 W 34TH ST APT 8A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100012332",
            "telephone_number": "201-838-3897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12510 QUEENS BLVD STE 218",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114151506",
            "telephone_number": "718-593-4121",
            "fax_number": "718-268-2646"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7000 Austin St",
            "address_purpose": "LOCATION",
            "city": "Forest Hills",
            "state": "NY",
            "postal_code": "113751022",
            "country_code": "US",
            "telephone_number": "201-838-3897",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEON GIRON",
        "first_name": "GUSTAVO",
        "middle_name": "ADOLFO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-09",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "023999-01",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Risa Ashira Lebowitz, PA-C
• Spencer Evan Lee, PHARM.D.
• Stacey Lefkowitz, OT
• Lens Express Optical, Inc
• Noelle Elizabeth Lenti-Nightengale, RN
• Roberta E Leon, MD
• Shirley V. Leon, M.S. SPED
• Lerner Physical Therapy, PLLC
• Jennifer Rachel Levin, LCSW
• Leah Levy

• Speech-Language Pathologist in Kew Gardens, NY
• Providers in Kew Gardens, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; 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.