Organization Active NPI

Leigh Ettinger, MD, PLLC

  • Pediatric Nephrology Physician
  • New Paltz, NY
National Provider Identifier
1386220671
Registry record updated Mar 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nephrology PhysicianTaxonomy code 2080P0210X
Legal business name
LEIGH ETTINGER, MD, PLLC
Practice address
153 Main St Ste 203
New Paltz, NY 12561-1116
Phone
(845) 475-8116
NPI assigned
Mar 18, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2021

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

Authorized official

Name
Leigh Ettinger, MD
Title
Owner
Phone
(917) 838-5457

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Obesity Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080B0002X
Pediatric Nephrology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080P0210X Primary

Addresses

Primary practice location

153 Main St Ste 203
New Paltz, NY 12561-1116

Mailing address

153 Main St Ste 203
New Paltz, NY 12561-1116

National Provider Directory

National Provider Directory

Locations

153 Main St
Ste 203
New Paltz, NY 12561
Phone (845) 475-8116

NPI Registry JSON

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

{
    "created_epoch": "1616025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616025600000",
    "number": "1386220671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 MAIN ST STE 203",
            "city": "NEW PALTZ",
            "state": "NY",
            "postal_code": "125611116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 MAIN ST STE 203",
            "city": "NEW PALTZ",
            "state": "NY",
            "postal_code": "125611116",
            "telephone_number": "845-475-8116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEIGH ETTINGER, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-18",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A",
        "authorized_official_last_name": "ETTINGER",
        "authorized_official_first_name": "LEIGH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-838-5457",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080B0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Obesity Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0210X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Paltz, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; 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.