Individual provider Active NPI

Leslie Kreisman, MS, SP ED

  • Specialist
  • Bronx, NY
National Provider Identifier
1518228535
Registry record updated Jun 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
156493861 Issued in NY
Practice address
5532 Netherland Ave
Apt. #1a
Bronx, NY 10471-2365
Phone
(917) 929-4168
Fax
(718) 549-1539
NPI assigned
Jun 6, 2012
Last updated
Jun 6, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 156493861 NY Primary

Addresses

Primary practice location

5532 Netherland Ave
Apt. #1a
Bronx, NY 10471-2365

Mailing address

5532 Netherland Ave
Apt. #1a
Bronx, NY 10471-2365
Phone (917) 929-4168

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
Master of Science

State licenses

LicenseStateTypeSpecialty
156493861NYMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1338940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338940800000",
    "number": "1518228535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5532 NETHERLAND AVE",
            "address_2": "APT. #1A",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104712365",
            "telephone_number": "917-929-4168",
            "fax_number": "718-549-1539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5532 NETHERLAND AVE",
            "address_2": "APT. #1A",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104712365",
            "telephone_number": "917-929-4168",
            "fax_number": "718-549-1539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREISMAN",
        "first_name": "LESLIE",
        "credential": "MS, SP ED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-06",
        "last_updated": "2012-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "156493861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.