Leo Davidson, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

25MD00307600 Issued in NJ

Practice address

667 Eagle Rock Ave
West Orange, NJ 07052-2177

Phone

(732) 709-3405

NPI assigned

Apr 21, 2011

Last updated

Jul 26, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

New York College of Podiatric Medicine, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

88.63 of 100Reported as group

Quality

83.84

Promoting interoperability

87

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Foot Care 2 You Inc

  • Foot & Ankle Surgery Podiatrist
  • Englishtown, NJ
  • NPI 1033548227
  Medicare reassignment NPD Authorized official
• Footcare 2 You

  • Durable Medical Equipment & Medical Supplies
  • Bloomfield, NJ
  • NPI 1104280486

  Foot & Ankle Surgery

  NPD Authorized official
• LDDL Surgical Podiatry Associates

  • Foot & Ankle Surgery Podiatrist
  • South Amboy, NJ
  • NPI 1629369996
  Authorized official Same address or phone
• Proactive Foot and Ankle

  • Foot & Ankle Surgery Podiatrist
  • Park Ridge, NJ
  • NPI 1639699325
  NPD
• Proactive Foot and Ankle

  • Durable Medical Equipment & Medical Supplies
  • Old Tappan, NJ
  • NPI 1710477864
  NPD
• David W. Lee MD PA

  • Adult Medicine Physician
  • Fort Lee, NJ
  • NPI 1932394079
  NPD (past)
• Family Community Medicine LLC

  • Family Medicine Physician
  • Middletown, NJ
  • NPI 1821254798
  NPD (past)

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

{
    "created_epoch": "1303344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690329600000",
    "number": "1467743732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "667 EAGLE ROCK AVE",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522177",
            "telephone_number": "732-709-3405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "667 EAGLE ROCK AVE",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522177",
            "telephone_number": "732-709-3405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "LEO",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-21",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00307600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Mary Dauer, PA-C
• Daughters of Israel Inc
• Daughters of Israel, Inc.
• David S. Haacker MD PC
• Gwen L David, MD
• Cryshedia NA'Imah Davis
• Joel F Davis, DDS
• Marlene Phyllis Davis, MSW MED MA
• Michael Davis, LPC, BCPC
• Nastassia Davis, MSN, RN, IBCLC

• Foot & Ankle Surgery Podiatrist in West Orange, NJ
• Providers in West Orange, NJ by specialty
• Foot & Ankle Surgery Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.