Vincent Richard Leddy, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

152061 Issued in NY

Practice address

160 4TH St
Brentwood, NY 11717-4610

Phone

(631) 273-7105

Fax

(631) 273-7253

NPI assigned

Feb 12, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal MedicineAlso: Family Practice

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Vantage Medical Associates PCGroup PAC ID 0547673816, 84 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Catholic Home Care Home health agency, Farmingdale, NY, CCN 337147
• Peconic Bay Homehealth Services Home health agency, Riverhead, NY, CCN 337400
• Good Samaritan Hospital Medical Center Hospital, West Islip, NY, CCN 330286

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Vantage Medical Associates PC

  • Multi-Specialty Clinic/Center
  • Far Rockaway, NY
  • NPI 1538642996
  Medicare reassignment Care Compare group NPD
• VR Leddy, M.D., P.C.

  • Internal Medicine Physician
  • Brentwood, NY
  • NPI 1275768327
  NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Central Suffolk Hospital

  • Home Health Agency
  • Riverhead, NY
  • NPI 1932155678
  Care Compare affiliation
• Good Samaritan Hospital Medical Center

  • General Acute Care Hospital
  • West Islip, NY
  • NPI 1902865355
  Care Compare affiliation
• Nursing Sisters Home Care, Inc.

  • Home Health Agency
  • Farmingdale, NY
  • NPI 1780670711
  Care Compare affiliation

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290384000000",
    "number": "1538201231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 4TH ST",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117174610",
            "telephone_number": "631-273-7105",
            "fax_number": "631-273-7253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 4TH ST",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117174610",
            "telephone_number": "631-273-7105",
            "fax_number": "631-273-7253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDDY",
        "first_name": "VINCENT",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2010-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "152061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Lane
• Kelly Lang
• Shavona Shamika Layne
• Maomet Francois Lebrun
• Brian Leddy, MD
• Christopher Sukchan Lee, DC
• Wendy Leiva
• Michelle J Lester, DC
• Eileen Letosky, M.S. CCC-SLP TSSLD
• Penny Beth Levy, LMSW

• Internal Medicine Physician in Brentwood, NY
• Providers in Brentwood, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.