Active NPI
Martin L. Leib MD PC
- Ophthalmology Physician
- New York, NY
National Provider Identifier
1255593380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 124928
- Legal business name
- MARTIN L. LEIB MD PC
- Practice address
- 635 W 165TH St
Suite 230
New York, NY 10032-3724 - Phone
- (212) 305-2303
- NPI assigned
- Jun 30, 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
- Martin L. Leib, M.D
- Title
- Direct Owner
- Phone
- (212) 305-2303
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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 124928 | NY | Primary |
Addresses
Primary practice location
635 W 165TH St
Suite 230
New York, NY 10032-3724
Mailing address
635 W 165TH St
Suite 230
New York, NY 10032-3724
Phone (212) 305-2303
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00370356 | Medicaid | NY | |
| 124928 | Other | NY | LICENSE |
National Provider Directory
National Provider DirectoryLocations
635 W 165th St
Ste 230
New York, NY 10032
Phone (212) 305-2303
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- New York, NY
- NPI 1417970872
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214784000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1362441600000",
"number": "1255593380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "635 W 165TH ST",
"address_2": "SUITE 230",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100323724",
"telephone_number": "212-305-2303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "635 W 165TH ST",
"address_2": "SUITE 230",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100323724",
"telephone_number": "212-305-2303"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARTIN L. LEIB MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-30",
"last_updated": "2013-03-05",
"status": "A",
"authorized_official_last_name": "LEIB",
"authorized_official_first_name": "MARTIN",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "DIRECT OWNER",
"authorized_official_telephone_number": "212-305-2303",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "NY",
"license": "124928",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00370356",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "124928",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.