Organization Active NPI

Maiden Lane Podiatry, PC

  • Podiatrist
  • New York, NY
National Provider Identifier
1396012258
Registry record updated Aug 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N003415 Issued in NY
Legal business name
MAIDEN LANE PODIATRY, PC
Practice address
1 Maiden LN
New York, NY 10038-4015
Phone
(212) 608-7999
Fax
(212) 812-3258
NPI assigned
Nov 21, 2011
Last updated
Aug 9, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2016

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

Authorized official

Name
Dr. Jerome Benjamin Leff, DPMNPI 1487781589
Title
Doctor
Phone
(212) 608-7999

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
Podiatrist 213E00000X N003415 NY Primary

Addresses

Primary practice location

1 Maiden LN
New York, NY 10038-4015

Mailing address

1 Maiden LN
New York, NY 10038-4015
Phone (212) 608-7999

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1321833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470700800000",
    "number": "1396012258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MAIDEN LN",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100384015",
            "telephone_number": "212-608-7999",
            "fax_number": "212-812-3258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MAIDEN LN",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100384015",
            "telephone_number": "212-608-7999",
            "fax_number": "212-812-3258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIDEN LANE PODIATRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-21",
        "last_updated": "2016-08-09",
        "status": "A",
        "authorized_official_last_name": "LEFF",
        "authorized_official_first_name": "JEROME",
        "authorized_official_middle_name": "BENJAMIN",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "212-608-7999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N003415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2016; 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.