Active NPI
Deborah Leone, P.A.
- Medical Physician Assistant
- Smithtown, NY
National Provider Identifier
1508035916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 008395-1
- Practice address
- 29 Ridge Rd
Smithtown, NY 11787-2505 - Phone
- (631) 979-8728
- NPI assigned
- Feb 29, 2008
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 008395-1 | NY | Primary |
Addresses
Primary practice location
29 Ridge Rd
Smithtown, NY 11787-2505
Mailing address
29 Ridge Road
Smithtown, NY 11877-2509
Phone (631) 979-8728
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008395-1 | Other | NY | NYS LICENCE P.A. |
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008395-1 | NY | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204243200000",
"number": "1508035916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 RIDGE ROAD",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "118772509",
"telephone_number": "631-979-8728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 RIDGE RD",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117872505",
"telephone_number": "631-979-8728"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEONE",
"first_name": "DEBORAH",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-29",
"last_updated": "2008-02-29",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NY",
"license": "008395-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NYS LICENCE P.A.",
"identifier": "008395-1",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Smithtown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.