Organization Active NPI

Leslie Bennett MDPC

  • Hematology & Oncology Physician
  • Flushing, NY
National Provider Identifier
1518281328
Registry record updated Mar 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
120795 Issued in NY
Legal business name
LESLIE BENNETT MDPC
Practice address
13540 78TH Dr
Flushing, NY 11367-3236
Phone
(718) 380-0411
Fax
(718) 380-0411
NPI assigned
Mar 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2010

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

Authorized official

Name
Dr. Leslie Bennett, MD
Title
President
Phone
(718) 380-0411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0003X 120795 NY Primary

Addresses

Primary practice location

13540 78TH Dr
Flushing, NY 11367-3236

Mailing address

13540 78TH Dr
Flushing, NY 11367-3236
Phone (718) 380-0411

Other identifiers 2

IdentifierTypeStateIssuer
1487610556OtherNYNPI
00226724MedicaidNY

National Provider Directory

National Provider Directory

Locations

13540 78th Dr
Flushing, NY 11367
Phone (646) 623-3350

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1269302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269302400000",
    "number": "1518281328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13540 78TH DR",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113673236",
            "telephone_number": "718-380-0411",
            "fax_number": "718-380-1436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13540 78TH DR",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113673236",
            "telephone_number": "718-380-0411",
            "fax_number": "718-380-0411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LESLIE BENNETT MDPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-23",
        "last_updated": "2010-03-23",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-380-0411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NY",
            "license": "120795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1487610556",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00226724",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2010; 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.