Organization Active NPI

Manhattan Endocrinologist PLLC

  • Legal Medicine
  • New York, NY
National Provider Identifier
1467576975
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
2257241 Issued in NY
Legal business name
MANHATTAN ENDOCRINOLOGIST PLLC
Practice address
130 W 12TH St
Suite 7D
New York, NY 10011-8271
Phone
(212) 675-9332
Fax
(212) 604-3844
NPI assigned
Mar 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Dr. Olga LeonardiNPI 1982666004
Title
Sole Proprieter
Phone
(718) 302-1800

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
Legal MedicineGroup: 193400000X SINGLE SPECIALTY GROUP 173000000X 2257241 NY Primary

Addresses

Primary practice location

130 W 12TH St
Suite 7D
New York, NY 10011-8271

Mailing address

130 W 12TH St
Suite 7D
New York, NY 10011-8271
Phone (212) 675-9332

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070822001170 NY Part B Supplier - Clinic/Group Practice 8921190943 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

80 5th Ave
Rm 1006
New York, NY 10011
Phone (212) 414-8248

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1467576975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 W 12TH ST",
            "address_2": "SUITE 7D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100118271",
            "telephone_number": "212-675-9332",
            "fax_number": "212-604-3844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 W 12TH ST",
            "address_2": "SUITE 7D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100118271",
            "telephone_number": "212-675-9332",
            "fax_number": "212-604-3844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANHATTAN ENDOCRINOLOGIST PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "LEONARDI",
        "authorized_official_first_name": "OLGA",
        "authorized_official_title_or_position": "SOLE PROPRIETER",
        "authorized_official_telephone_number": "718-302-1800",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "NY",
            "license": "2257241",
            "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 Jun 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.