Active NPI
Dr Leon Mullen
- Cardiovascular Disease Physician
- East Meadow, NY
National Provider Identifier
1245316728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 132791
- Legal business name
- DR LEON MULLEN
- Practice address
- 30 Merrick Avenue
Suite 105
East Meadow, NY 11554-1580 - Phone
- (516) 542-0255
- Fax
- (516) 542-0276
- NPI assigned
- Oct 27, 2006
- Last updated
- Feb 22, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Leon Mullen, MD
- Title
- Owner
- Phone
- (516) 542-0255
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 132791 | NY | Primary |
Addresses
Primary practice location
30 Merrick Avenue
Suite 105
East Meadow, NY 11554-1580
Mailing address
30 Merrick Avenue
Suite 105
East Meadow, NY 11554-1580
Phone (516) 542-0255
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Cardiovascular Disease Physician
- East Meadow, NY
- NPI 1497831986
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1203638400000",
"number": "1245316728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 MERRICK AVENUE",
"address_2": "SUITE 105",
"city": "EAST MEADOW",
"state": "NY",
"postal_code": "115541580",
"telephone_number": "516-542-0255",
"fax_number": "516-542-0276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 MERRICK AVENUE",
"address_2": "SUITE 105",
"city": "EAST MEADOW",
"state": "NY",
"postal_code": "115541580",
"telephone_number": "516-542-0255",
"fax_number": "516-542-0276"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR LEON MULLEN",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-27",
"last_updated": "2008-02-22",
"status": "A",
"authorized_official_last_name": "MULLEN",
"authorized_official_first_name": "LEON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "516-542-0255",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NY",
"license": "132791",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Meadow, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.