Leunissen & Leunissen P.C.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

MD032215L Issued in PA

Legal business name

LEUNISSEN & LEUNISSEN P.C.

Doing business as

Medical Cardiology Associates

Practice address

1078 W. Baltimore Pike
Suite # 209
Media, PA 19063-5196

Phone

(610) 566-9122

Fax

(610) 891-7834

NPI assigned

Sep 1, 2006

Last updated

Oct 23, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. R. L. Abraham Leunissen, M.D.

Title

President

Phone

(610) 566-9122

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Medical Cardiology Associates Doing business as

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193097600000",
    "number": "1386746543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1078 W. BALTIMORE PIKE",
            "address_2": "SUITE # 209",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190635196",
            "telephone_number": "610-566-9122",
            "fax_number": "610-891-7834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1078 W. BALTIMORE PIKE",
            "address_2": "SUITE # 209",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190635196",
            "telephone_number": "610-566-9122",
            "fax_number": "610-891-7834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEUNISSEN & LEUNISSEN P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-01",
        "last_updated": "2007-10-23",
        "status": "A",
        "authorized_official_last_name": "LEUNISSEN",
        "authorized_official_first_name": "R. L.",
        "authorized_official_middle_name": "ABRAHAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-566-9122",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD032215L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00935159",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY CODE",
            "identifier": "207RC0000X",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Cardiology Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Cardiovascular Disease Physician in Media, PA
• Providers in Media, PA by specialty
• Cardiovascular Disease Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; 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.