Active NPI
Marie Laura Leon, MD
- Pediatrics Physician
- Brooklyn, NY
National Provider Identifier
1235214313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 196577
- Practice address
- 2832 Linden Blvd
Brooklyn, NY 11208-5132 - Phone
- (718) 240-2000
- Fax
- (718) 240-2260
- NPI assigned
- Oct 26, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 196577 | NY | Primary |
Addresses
Primary practice location
2832 Linden Blvd
Brooklyn, NY 11208-5132
Mailing address
441 9TH Ave
Credentialing 3Rd FL
New York, NY 10001-1623
Phone (646) 680-2894
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01682782 | Medicaid | NY |
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
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449446400000",
"number": "1235214313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "441 9TH AVE",
"address_2": "CREDENTIALING 3RD FL",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100011623",
"telephone_number": "646-680-2894",
"fax_number": "516-542-5556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2832 LINDEN BLVD",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112085132",
"telephone_number": "718-240-2000",
"fax_number": "718-240-2260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEON",
"first_name": "MARIE",
"middle_name": "LAURA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-26",
"last_updated": "2015-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "196577",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01682782",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.