Active NPI
Leon Serchuk, M.D.
- Diagnostic Radiology Physician
- Patchogue, NY
National Provider Identifier
1285617340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 154652
- Practice address
- 101 Hospital Rd
Patchogue, NY 11772-4870 - Phone
- (952) 595-1100
- Fax
- (612) 294-4903
- NPI assigned
- Nov 22, 2005
- Last updated
- Oct 2, 2013
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 154652 | NY | Primary |
Addresses
Primary practice location
101 Hospital Rd
Patchogue, NY 11772-4870
Mailing address
11995 Singletree LN
Suite 500
Eden Prairie, MN 55344-5347
Phone (952) 595-1301
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brookhaven Memorial Hospital Medical Center | Diagnostic Radiology | Past | Accepting new patients |
| Mercy Medical Center | Diagnostic Radiology | Past | Accepting new patients |
| Nassau-Suffolk Radiological Associates, P.C. | Past | Accepting new patients | |
| TLC Radiology PA | Diagnostic Radiology | Past | Accepting new patients |
| Diagnostic Imaging Consultants Inc. | Diagnostic Radiology | Past | Accepting new patients |
| Virtual Radiologic Professionals, LLC | Diagnostic Radiology | Past | Accepting new patients |
| Trustees of Columbia University in the City of New York | Past | Accepting new patients |
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Diagnostic Radiology Physician
- Patchogue, NY
- NPI 1114014065
-
dba Mercy Medical Center - Radiology
- Diagnostic Radiology Physician
- Rockville Centre, NY
- NPI 1124062369
-
- Specialist
- Lindenhurst, NY
- NPI 1295940435
-
- Diagnostic Radiology Physician
- Bedford Hills, NY
- NPI 1821253360
-
- Diagnostic Radiology Physician
- Greenville, PA
- NPI 1841264405
-
- Internal Medicine Physician
- Fort Lee, NJ
- NPI 1982993184
-
- Diagnostic Radiology Physician
- Edina, MN
- NPI 1932342029
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380672000000",
"number": "1285617340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11995 SINGLETREE LN",
"address_2": "SUITE 500",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553445347",
"telephone_number": "952-595-1301",
"fax_number": "612-294-4903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 HOSPITAL RD",
"city": "PATCHOGUE",
"state": "NY",
"postal_code": "117724870",
"telephone_number": "952-595-1100",
"fax_number": "612-294-4903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SERCHUK",
"first_name": "LEON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-22",
"last_updated": "2013-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "154652",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Patchogue, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.