Active NPI
David Daniel Leal Jr., CRNA
- Certified Registered Nurse Anesthetist
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 584049
- 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, 2015
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 86150U | Other | TX | BLUE CROSS & BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Weill Medical College of Cornell | Current | Accepting new patients | |
| Weill Medical College of Cornell | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| North Shore - Lij Anesthesiology, PC | Current | Accepting new patients | |
| Sedation Vacation Perioperative Medicine PLLC | Current | 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.
-
- Anesthesiology Physician
- Chappaqua, NY
- NPI 1417401266
-
- Specialist
- Valley Stream, NY
- NPI 1891235404
-
dba Nyph / WCMC Crna's
- Certified Registered Nurse Anesthetist
- New York, NY
- NPI 1164768305
Nurse Anesthetist, Certified Registered
-
- Gastroenterology Physician
- New York, NY
- NPI 1619136595
-
- Cardiovascular Disease Physician
- New York, NY
- NPI 1144729385
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.