Active NPI
Mary E Leban, APN
- Family Nurse Practitioner
- New York, NY
National Provider Identifier
1487091922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 26NR10787100
- Practice address
- 1305 York Avenue, 4TH Floor
Weill Cornell Medical Center
New York, NY 10021 - Phone
- (646) 962-4800
- Fax
- (646) 962-0377
- NPI assigned
- May 23, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 26NR10787100 | NJ | Primary |
Addresses
Primary practice location
1305 York Avenue, 4TH Floor
Weill Cornell Medical Center
New York, NY 10021
Mailing address
1305 York Avenue, 4TH Floor
Weill Cornell Medical Center
New York, NY 10021
Phone (646) 962-4800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NR10787100 | NJ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Angelo del Priore DPM | Past | Accepting new patients |
Organizations & group practices 1
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403481600000",
"number": "1487091922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1305 YORK AVENUE, 4TH FLOOR",
"address_2": "WEILL CORNELL MEDICAL CENTER",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10021",
"telephone_number": "646-962-4800",
"fax_number": "646-962-0377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1305 YORK AVENUE, 4TH FLOOR",
"address_2": "WEILL CORNELL MEDICAL CENTER",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10021",
"telephone_number": "646-962-4800",
"fax_number": "646-962-0377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEBAN",
"first_name": "MARY",
"middle_name": "E",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-23",
"last_updated": "2014-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NJ",
"license": "26NR10787100",
"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 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.