Lona Leybengrub, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

005726-1 Issued in NY

Practice address

253 Maybury Ave
Staten Island, NY 10308-3251

Phone

(347) 306-8289

NPI assigned

Nov 10, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458259200000",
    "number": "1326029968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2651 E 14TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353915",
            "telephone_number": "347-306-8289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "253 MAYBURY AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103083251",
            "telephone_number": "347-306-8289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEYBENGRUB",
        "first_name": "LONA",
        "name_prefix": "Mrs.",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-10",
        "last_updated": "2016-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "005726-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "000000119857",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5318881",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P3621230",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jasmine Lewis
• Kecia Leann Lewis, LCSW
• Kimberley Ann Lewis, LCSW-R
• Nicole M Lewis, M.S., CCC-SLP, TSSLD
• Zachary M Lewter, CRNA
• Ira Leykin
• Lina Leykina, M.D.
• Sofya Leykina, PT
• Alla Leytina
• Nicholas J Lezzo, PA

• Registered Dietitian in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2016; 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.