Active NPI
Amy R Leonard, M.D.
- Pediatrics Physician
- Selden, NY
National Provider Identifier
1508971151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 239945
- Practice address
- 239 Boyle Rd
Suite 7
Selden, NY 11784-1955 - Phone
- (631) 698-0600
- Fax
- (631) 698-2212
- NPI assigned
- Aug 21, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 239945 | NY | Primary |
Addresses
Primary practice location
239 Boyle Rd
Suite 7
Selden, NY 11784-1955
Mailing address
239 Boyle Rd
Suite 7
Selden, NY 11784-1955
Phone (631) 698-0600
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 |
|---|---|---|---|
| 239945 | NY | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Charles Hospital Corp | Past | Accepting new patients | |
| Kids Care Pediatrics | Pediatrics | Past | Accepting new patients |
| University Hospital at Stony Brook | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Pediatrics Physician
- Selden, NY
- NPI 1093717993
-
- General Acute Care Hospital
- Port Jefferson, NY
- NPI 1164481529
-
- General Acute Care Hospital
- Stony Brook, NY
- NPI 1972523348
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508971151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "239 BOYLE RD",
"address_2": "SUITE 7",
"city": "SELDEN",
"state": "NY",
"postal_code": "117841955",
"telephone_number": "631-698-0600",
"fax_number": "631-698-2212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "239 BOYLE RD",
"address_2": "SUITE 7",
"city": "SELDEN",
"state": "NY",
"postal_code": "117841955",
"telephone_number": "631-698-0600",
"fax_number": "631-698-2212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEONARD",
"first_name": "AMY",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "239945",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Selden, 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.