Wayne A Leavitt, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

2204121 Issued in NY

Practice address

601 North Way
Camillus, NY 13031-1498

Phone

(315) 487-1541

Fax

(315) 487-3485

NPI assigned

Sep 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: drwleavitt@pedsassociates.medentdirect.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pediatric Associates LLP

  • Pediatrics Physician
  • Camillus, NY
  • NPI 1932283348
  NPD (past)

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255422796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 NORTH WAY",
            "city": "CAMILLUS",
            "state": "NY",
            "postal_code": "130311498",
            "telephone_number": "315-487-1541",
            "fax_number": "315-487-3485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 NORTH WAY",
            "city": "CAMILLUS",
            "state": "NY",
            "postal_code": "130311498",
            "telephone_number": "315-487-1541",
            "fax_number": "315-487-3485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAVITT",
        "first_name": "WAYNE",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "2204121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02313317",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles Vincent Lapp, PHARMACIST
• Nicole Lavalle, FNP
• James Francis Lawless, MD
• Vanessa Marie Leabo, FNP-C
• Meagan Rose Leach, PT, DPT
• Peggy Lee, PHARM. D.
• Thomas C Lee, MD
• Michael Lentini, D.C.
• Todd R. Lentz, M.D.
• Emily Jeanne Lima-Deangelis

• Pediatrics Physician in Camillus, NY
• Providers in Camillus, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.