Active NPI
Leigh Ettinger, MD, PLLC
- Pediatric Nephrology Physician
- New Paltz, NY
National Provider Identifier
1386220671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nephrology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Obesity Medicine Physician | 2080B0002X | |||
| Pediatric Nephrology Physician | 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 DirectoryLocations
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.