Active NPI
Sam A. Leuzzi, M.D.
- Pediatric Adolescent Medicine Physician
- Staten Island, NY
National Provider Identifier
1508933029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- 185975
- Practice address
- 78 Cromwell Ave
Staten Island, NY 10304-3933 - Phone
- (718) 979-7900
- Fax
- (718) 979-8500
- NPI assigned
- Nov 29, 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 |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | 185975 | NY | Primary |
Addresses
Primary practice location
78 Cromwell Ave
Staten Island, NY 10304-3933
Mailing address
78 Cromwell Ave
Staten Island, NY 10304-3933
Phone (718) 979-7900
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 185975 | NY | MD | Pediatric Adolescent Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508933029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "78 CROMWELL AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103043933",
"telephone_number": "718-979-7900",
"fax_number": "718-979-8500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "78 CROMWELL AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103043933",
"telephone_number": "718-979-7900",
"fax_number": "718-979-8500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEUZZI",
"first_name": "SAM",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "NY",
"license": "185975",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.