Individual provider Active NPI

Leon Stepensky

  • Foot Surgery Podiatrist
  • Brooklyn, NY
National Provider Identifier
1528042413
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
N005624 Issued in NY
Practice address
3111 Brighton 2ND St
L2
Brooklyn, NY 11235-7535
Phone
(718) 332-8633
Fax
(718) 332-0547
NPI assigned
Dec 4, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X N005624 NY Primary

Addresses

Primary practice location

3111 Brighton 2ND St
L2
Brooklyn, NY 11235-7535

Mailing address

925 Hampton Ave
Brooklyn, NY 11235-3052
Phone (718) 809-7511

Other practice location 1

99 Moore St
Brooklyn, NY 11206-3329
Phone (718) 387-1884

Other practice location 2

1850 Merrick Rd
Merrick, NY 11566-4530
Phone (718) 332-8633

Other identifiers 2

IdentifierTypeStateIssuer
02128430MedicaidNY
4184270001OtherNYMEDICARE DMERC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150112000244 NY Practitioner - Podiatry 6709879992 Reassigns benefits to 2 organizations
O20100930094653 NY DME Supplier - Physician - Podiatry 9830201235 Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5015 Beach Channel Dr
Far Rockaway, NY 11691-1110
Phone 71873420002020

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue26
Removal of skin lesions1-10
Removal of nail tissue3050
Removal or shaving of skin growth585

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N005624NYMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Fit Feet Podiatry P.C. CurrentSince Apr 8, 2002 Accepting new patients
Wyckoff Professional Medical Services, PC CurrentSince Jan 1, 2021 Accepting new patients
Staten Island Physician Practice PC PastSince Apr 8, 2002 Accepting new patients
Ji Medical PC Past Accepting new patients

Locations

65 Rues Ln
East Brunswick, NJ 08816
Phone (732) 257-4444

235 Wyckoff Ave
Brooklyn, NY 11237
Phone (718) 366-3300

374 Stockholm St
Brooklyn, NY 11237
Phone (718) 963-6485

3111 Brighton 2nd St
Ste L2
Brooklyn, NY 11235
Phone (718) 332-8633

5015 Beach Channel Dr
Far Rockaway, NY 11691
Phone (718) 434-2000

1850 Merrick Rd
Merrick, NY 11566
Phone (718) 332-8633

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1133654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1528042413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 HAMPTON AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353052",
            "telephone_number": "718-809-7511",
            "fax_number": "718-228-8444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 BRIGHTON 2ND ST",
            "address_2": "L2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112357535",
            "telephone_number": "718-332-8633",
            "fax_number": "718-332-0547"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "99 MOORE ST",
            "address_purpose": "LOCATION",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112063329",
            "country_code": "US",
            "telephone_number": "718-387-1884",
            "fax_number": "718-228-8444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1850 MERRICK RD",
            "address_purpose": "LOCATION",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115664530",
            "country_code": "US",
            "telephone_number": "718-332-8633",
            "fax_number": "718-332-0547",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEPENSKY",
        "first_name": "LEON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-04",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N005624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02128430",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DMERC",
            "identifier": "4184270001",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.