Individual provider Active NPI

Jose Joaquin Leiton Chavarria, NP

  • Family Nurse Practitioner
  • New York, NY
National Provider Identifier
1316437718
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F342905 Issued in NY
Practice address
525 E 68TH St
New York, NY 10065
Phone
(305) 986-4752
NPI assigned
May 11, 2018
Last updated
Jul 1, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F342905 NY Primary
Registered Nurse 163W00000X 738301-1 NY

Addresses

Primary practice location

525 E 68TH St
New York, NY 10065

Mailing address

969 Columbus Ave Apt 5a
New York, NY 10025-3171
Phone (305) 986-4752

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201106000671 NY Practitioner - Nurse Practitioner 8921340662 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Shore Hematology Oncology Associates PCGroup PAC ID 1456243641, 474 clinicians

Practice addresses (Care Compare)

3016 30TH Dr
Astoria, NY 11102-1874
Phone (631) 751-3000

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
738301-1NYMDRegistered Nurse
F342905NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dimitri N Kessaris MDPC CurrentSince Oct 1, 2020 Accepting new patients
North Shore Hematology Oncology Associates PC CurrentSince Feb 1, 2024 Accepting new patients

Locations

6902 Austin St
Forest Hills, NY 11375
Phone (516) 423-6141

3739 75th St
Jackson Hts, NY 11372
Phone (718) 505-1177

3016 30th Dr
Long Island City, NY 11102
Phone (718) 728-3376

315 E Shore Rd
Manhasset, NY 11030
Phone (516) 773-6611

1500 Route 112
Bldg 4
Port Jefferson Station, NY 11776
Phone (631) 574-8354

48 Route 25A
Smithtown, NY 11787
Phone (631) 862-3540

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: jleitonchavarria678354@nychhc.direct-ci.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1525996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1316437718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "969 COLUMBUS AVE APT 5A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100253171",
            "telephone_number": "305-986-4752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 E 68TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10065",
            "telephone_number": "305-986-4752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEITON CHAVARRIA",
        "first_name": "JOSE",
        "middle_name": "JOAQUIN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-11",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F342905",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "738301-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.