Individual provider Active NPI

Leon Bautista Mesina, MD

  • Pediatrics Physician
  • East Brunswick, NJ
National Provider Identifier
1235173428
Registry record updated Jun 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MA06034900 Issued in NJ
Practice address
F2A Brier Hill CT
East Brunswick, NJ 08816-3366
Phone
(732) 955-6099
Fax
(732) 307-7503
NPI assigned
Jun 16, 2006
Last updated
Jun 28, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 25MA06034900 NJ Primary

Addresses

Primary practice location

F2A Brier Hill CT
East Brunswick, NJ 08816-3366

Mailing address

F2A Brier Hill CT
East Brunswick, NJ 08816-3366
Phone (732) 955-6099

Other practice location 1

2477 Route 516
Suite 202
Old Bridge, NJ 08857-4603
Phone (732) 679-0400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160602001880 NJ Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 6800186867

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Interoperability endpoints

  • Direct secure messaging: leon.mesina.1@2227.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593302400000",
    "number": "1235173428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "F2A BRIER HILL CT",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088163366",
            "telephone_number": "732-955-6099",
            "fax_number": "732-307-7503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "F2A BRIER HILL CT",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088163366",
            "telephone_number": "732-955-6099",
            "fax_number": "732-307-7503"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2477 Route 516",
            "address_2": "Suite 202",
            "address_purpose": "LOCATION",
            "city": "Old Bridge",
            "state": "NJ",
            "postal_code": "088574603",
            "country_code": "US",
            "telephone_number": "732-679-0400",
            "fax_number": "732-679-0445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MESINA",
        "first_name": "LEON",
        "middle_name": "BAUTISTA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2020-06-28",
        "certification_date": "2020-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA06034900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.