Individual provider Active NPI

David Daniel Leal Jr., CRNA

  • Certified Registered Nurse Anesthetist
  • New York, NY
National Provider Identifier
1528004157
Registry record updated Jun 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
584049 Issued in NY
Practice address
170 William St
Room 354
New York, NY 10038-2612
Phone
(646) 588-2602
Fax
(212) 312-5855
NPI assigned
Jun 21, 2006
Last updated
Jun 9, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 584049 NY Primary

Addresses

Primary practice location

170 William St
Room 354
New York, NY 10038-2612

Mailing address

170 William St
Room 354
New York, NY 10038-2612
Phone (646) 588-2602

Other identifiers 1

IdentifierTypeStateIssuer
86150UOtherTXBLUE CROSS & BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070827000234 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 1254353402 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Weill Medical College of Cornell CurrentSince Dec 1, 2012 Accepting new patients
Weill Medical College of Cornell Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2012 Accepting new patients
North Shore - Lij Anesthesiology, PC CurrentSince Mar 16, 2021 Accepting new patients
Sedation Vacation Perioperative Medicine PLLC CurrentSince Jul 5, 2021 Accepting new patients

Locations

1396 Myrtle Ave
Brooklyn, NY 11237
Phone (718) 878-4313

195 E Main St
Huntington, NY 11743
Phone (631) 385-8677

8745 Lake Street Rd
Le Roy, NY 14482
Phone (585) 267-7570

170 William St
Rm 354
New York, NY 10038
Phone (646) 588-2602

380 2nd Ave
Ste 1000
New York, NY 10010
Phone (212) 254-3570

525 E 68th St
New York, NY 10065
Phone (212) 746-2846

619 W 54th St
New York, NY 10019
Phone (212) 231-7778

10512 101st Ave
Ozone Park, NY 11416
Phone (718) 847-3600

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433808000000",
    "number": "1528004157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 WILLIAM ST",
            "address_2": "ROOM 354",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100382612",
            "telephone_number": "646-588-2602",
            "fax_number": "212-312-5855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 WILLIAM ST",
            "address_2": "ROOM 354",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100382612",
            "telephone_number": "646-588-2602",
            "fax_number": "212-312-5855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAL",
        "first_name": "DAVID",
        "middle_name": "DANIEL",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2015-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "584049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "86150U",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.