Kent N Leifer, MD

Primary specialty

Allergy PhysicianTaxonomy code 207KA0200X

License

ME24381 Issued in FL

Practice address

375 S Courtenay Pkwy
Unit 4
Merritt Island, FL 32952-4886

Phone

(321) 452-4730

Fax

(321) 453-6681

NPI assigned

Sep 13, 2005

Sex

Male

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 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kent N Leifer MD

  • Allergy Physician
  • Merritt Island, FL
  • NPI 1619332814
  NPD (past) Authorized official

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317686400000",
    "number": "1336134634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 S COURTENAY PKWY",
            "address_2": "UNIT 4",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329524886",
            "telephone_number": "321-452-4730",
            "fax_number": "321-453-6681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 S COURTENAY PKWY",
            "address_2": "UNIT 4",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329524886",
            "telephone_number": "321-452-4730",
            "fax_number": "321-453-6681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIFER",
        "first_name": "KENT",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-13",
        "last_updated": "2011-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "FL",
            "license": "ME24381",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA INSURANCE",
            "identifier": "AETNA 4028111",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Magness PSYD LLC
• Denise Marie Laventure, L.M.T.
• Kendra Law, DDS
• Jorge J Leal, MD
• Jennifer Lebrecht, OTR/L
• Jennifer Schlecht Lenderman, BCABA
• Leon a Cohen, M.D. PA
• Matthew Lerret, PHARMD
• William James Lester
• Joseph Leith Anthony Lewis, RBT

• Allergy Physician in Merritt Island, FL
• Providers in Merritt Island, FL by specialty
• Allergy Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.