Organization Active NPI

Leonid Magidenko, MD, PC

Doing business as Health Smart Medical Center

  • Multi-Specialty Clinic/Center
  • Feasterville Trevose, PA
National Provider Identifier
1326080896
Registry record updated Feb 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
LEONID MAGIDENKO, MD, PC
Doing business as
Health Smart Medical Center
Practice address
518 Bustleton Pike FL 1
Feasterville Trevose, PA 19053-6035
Phone
(215) 464-6040
Fax
(215) 464-6046
NPI assigned
Jun 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2019

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

Authorized official

Name
Dr. Leonid Magidenko, MDNPI 1821052143
Title
Physician
Phone
(215) 464-6040

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)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

518 Bustleton Pike FL 1
Feasterville Trevose, PA 19053-6035

Mailing address

518 Bustleton Pike FL 1
Feasterville Trevose, PA 19053-6035
Phone (215) 464-6040

Other names 1

  • Health Smart Medical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040825000240 PA Part B Supplier - Clinic/Group Practice 9335113331 Receives reassigned benefits from 4 practitioners
Practice locations: Feasterville Trevose, PA

National Provider Directory

National Provider Directory

Locations

518 Bustleton Pike
Fl 1
Fstrvl Trvose, PA 19053
Phone (215) 464-4060

518 Bustleton Pike
Fstrvl Trvose, PA 19053
Phone (215) 354-4444

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549152000000",
    "number": "1326080896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 BUSTLETON PIKE FL 1",
            "city": "FEASTERVILLE TREVOSE",
            "state": "PA",
            "postal_code": "190536035",
            "telephone_number": "215-464-6040",
            "fax_number": "215-464-6046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 BUSTLETON PIKE FL 1",
            "city": "FEASTERVILLE TREVOSE",
            "state": "PA",
            "postal_code": "190536035",
            "telephone_number": "215-464-6040",
            "fax_number": "215-464-6046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEONID MAGIDENKO, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2019-02-03",
        "status": "A",
        "authorized_official_last_name": "MAGIDENKO",
        "authorized_official_first_name": "LEONID",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "215-464-6040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health Smart Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Health Smart Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Feasterville Trevose, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.