Individual provider Active NPI

Victoria Borisivna Leonichev, DO

  • Cardiovascular Disease Physician
  • White Plains, NY
National Provider Identifier
1467783936
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
294476 Issued in NY
Practice address
170 Maple Ave Ste 104
White Plains, NY 10601-4707
Phone
(914) 328-2355
NPI assigned
Jan 23, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 294476 NY Primary

Addresses

Primary practice location

170 Maple Ave Ste 104
White Plains, NY 10601-4707

Mailing address

170 Maple Ave Ste 104
White Plains, NY 10601-4707
Phone (818) 624-0083

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210212002272 NY Practitioner - Cardiovascular Disease (Cardiology) 1951716513 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

170 Maple Ave
FL 4
White Plains, NY 10601-4710
Phone (914) 328-8444

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
294476NYMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Francis Cardiac Prevention Services PC CurrentSince Apr 1, 2021 Accepting new patients
CHS Physician Partners, P.C Cardiovascular Disease CurrentSince Apr 1, 2021 Accepting new patients
Southwest Suffolk Medical PC CurrentSince May 1, 2021 Accepting new patients
CHS Physician Partners, PC Current Accepting new patients
Southwest Suffolk Medical, P.C. Current Accepting new patients
White Plains Physician Services PC CurrentSince Jan 1, 2023 Accepting new patients
Southwest Suffolk, P.C CurrentSince May 1, 2021 Accepting new patients
CHS Physician Partners, PC CurrentSince Apr 1, 2021 Accepting new patients
Maple Medical, LLP Cardiovascular Disease Past Accepting new patients

Locations

2200 Northern Blvd
Ste 118
Greenvale, NY 11548
Phone (516) 563-7910

2200 Northern Blvd
Ste 100C
Greenvale, NY 11548
Phone (516) 325-7400

185 Kisco Ave
Ste 300
Mount Kisco, NY 10549
Phone (914) 242-2020

4 Ohio Dr
New Hyde Park, NY 11042
Phone (516) 519-8260

1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012

100 Port Washington Blvd
Roslyn, NY 11576
Phone (516) 562-6385

100 Port Washington Blvd
Ste G3
Roslyn, NY 11576
Phone (516) 627-4800

48 Route 25A
Smithtown, NY 11787
Phone (631) 862-3540

1000 Montauk Hwy
West Islip, NY 11795
Phone (516) 705-2689

170 Maple Ave
White Plains, NY 10601
Phone (914) 761-4567

170 Maple Ave
Ste 309
White Plains, NY 10601
Phone (914) 220-0283

222 Westchester Ave
Ste 201
White Plains, NY 10604
Phone (914) 683-6474

170 Maple Ave
Fl 4
White Plains, NY 10601
Phone (914) 328-8444

170 Maple Ave
Ste G-1
White Plains, NY 10601
Phone (914) 328-0932

170 Maple Ave
Ste 104
White Plains, NY 10601
Phone (914) 849-7180

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Organizations & group practices 9

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

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1264204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1467783936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 MAPLE AVE STE 104",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106014707",
            "telephone_number": "818-624-0083",
            "fax_number": "818-760-0882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 MAPLE AVE STE 104",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106014707",
            "telephone_number": "914-328-2355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONICHEV",
        "first_name": "VICTORIA",
        "middle_name": "BORISIVNA",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-23",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "294476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

Verify at the official NPI Registry.