Individual provider Active NPI

Jerome B Leff, D.P.M.

  • Primary Podiatric Medicine Podiatrist
  • Bronx, NY
National Provider Identifier
1487781589
Registry record updated Aug 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
N003415 Issued in NY
Practice address
2665 Netherland Ave
Bronx, NY 10463-4808
Phone
(646) 483-9723
Fax
(212) 812-3258
NPI assigned
Feb 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X NOO3415 NY
Primary Podiatric Medicine Podiatrist 213EP1101X N003415 NY Primary

Addresses

Primary practice location

2665 Netherland Ave
Bronx, NY 10463-4808

Mailing address

2665 Netherland Ave
Bronx, NY 10463-4808
Phone (646) 483-9723

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120330000278 NY Practitioner - Podiatry 4587824479 Practice locations: Bronx, NY

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1982
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2665 Netherland Ave
Bronx, NY 10463-4808
Phone (646) 483-9723

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1863
Removal or shaving of skin growth899

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
N003415NYMDPrimary Podiatric Medicine Podiatrist
NOO3415NYMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Maiden Lane Podiatry, PC PastSince Aug 7, 2012 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.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470614400000",
    "number": "1487781589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2665 NETHERLAND AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104634808",
            "telephone_number": "646-483-9723",
            "fax_number": "212-812-3258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2665 NETHERLAND AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104634808",
            "telephone_number": "646-483-9723",
            "fax_number": "212-812-3258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEFF",
        "first_name": "JEROME",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2016-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "NOO3415",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NY",
            "license": "N003415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.