Active NPI
Leon Mullen, MD
- Cardiovascular Disease Physician
- East Meadow, NY
National Provider Identifier
1497831986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 132791
- Practice address
- 30 Merrick Avenue
Suite 105
East Meadow, NY 11554-1580 - Phone
- (516) 542-0255
- Fax
- (516) 542-0276
- NPI assigned
- Oct 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 132791 | NY | Primary |
Addresses
Primary practice location
30 Merrick Avenue
Suite 105
East Meadow, NY 11554-1580
Mailing address
30 Merrick Avenue
Suite 105
East Meadow, NY 11554-1580
Phone (516) 542-0255
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00663103 | Medicaid | NY |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20031107000046 | NY | Practitioner - Cardiovascular Disease (Cardiology) | 4284547100 |
Reassigns benefits to 1 organization Practice locations: East Meadow, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mercy Internal Medicine PC
Practice addresses (Care Compare)
1000 N Village Ave
Rockville Center, NY 11570-1000
Phone (516) 705-1353
30 Merrick Ave
Suite 105
East Meadow, NY 11554-1580
Phone (516) 542-0255
Hospital & facility affiliations
- Catholic Home Care
- Mercy Medical Center
- St Francis Hospital - the Heart Center
- Mount Sinai South Nassau
- NYU Langone Hospitals
- Long Island Jewish Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles (4 of 8)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Internal Medicine PC | Current | Accepting new patients | |
| Dr Leon Mullen | Cardiovascular Disease | Past | Accepting new patients |
| Lifeline Medical Testing PLLC | Past | Accepting new patients | |
| Mercy Medical Center | Past | Accepting new patients |
Locations
1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
Organizations & group practices 4
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.
-
- Cardiovascular Disease Physician
- East Meadow, NY
- NPI 1245316728
Cardiovascular Disease
-
- Pulmonary Disease Physician
- New York, NY
- NPI 1114634482
-
- General Acute Care Hospital
- Rockville Centre, NY
- NPI 1659330173
Hospital & facility affiliations 14
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Hyde Park, NY
- NPI 1285641514
Hospital
-
- Home Health Agency
- Farmingdale, NY
- NPI 1780670711
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389657600000",
"number": "1497831986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 MERRICK AVENUE",
"address_2": "SUITE 105",
"city": "EAST MEADOW",
"state": "NY",
"postal_code": "115541580",
"telephone_number": "516-542-0255",
"fax_number": "516-542-0276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 MERRICK AVENUE",
"address_2": "SUITE 105",
"city": "EAST MEADOW",
"state": "NY",
"postal_code": "115541580",
"telephone_number": "516-542-0255",
"fax_number": "516-542-0276"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULLEN",
"first_name": "LEON",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-27",
"last_updated": "2014-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NY",
"license": "132791",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00663103",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in East Meadow, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2014; 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.