Individual provider Active NPI

Leonard Lefkovic, M. D.

  • Cardiovascular Disease Physician
  • Staten Island, NY
National Provider Identifier
1548258270
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
146937 Issued in NY
Practice address
347 Edison St
Staten Island, NY 10306-3034
Phone
(718) 351-1136
Fax
(718) 667-9711
NPI assigned
Oct 6, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 146937 NY Primary

Addresses

Primary practice location

347 Edison St
Staten Island, NY 10306-3034

Mailing address

97 New Dorp LN
Staten Island, NY 10306-2359
Phone (718) 876-6220

Other identifiers 1

IdentifierTypeStateIssuer
00710283MedicaidNY

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040721001709 NY Practitioner - Cardiovascular Disease (Cardiology) 7214824358

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
146937NYMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Island Medical Specialists, P.L.L.C. Cardiovascular Disease CurrentSince Jan 21, 2004 Accepting new patients
Queens Replacement LLC Past Accepting new patients

Locations

375 Seguine Ave
Staten Island, NY 10309
Phone (718) 226-2000

191 Bradley Ave
Staten Island, NY 10314
Phone (516) 558-3010

375 Seguine Ave
#2
Staten Island, NY 10309
Phone (718) 226-2287

97 New Dorp Ln
Ste A
Staten Island, NY 10306

475 Seaview Ave
Staten Island, NY 10305
Phone (718) 226-8855

501 Seaview Ave
Staten Island, NY 10305
Phone (718) 667-4700

375 Seguine Ave
Fl 1
Staten Island, NY 10309
Phone (718) 351-1136

347 Edison St
Staten Island, NY 10306
Phone (718) 351-1136

Networks

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

Interoperability endpoints

  • Direct secure messaging: leonardlefkovic@nslijmedgr.allscriptsdirect.net
  • Direct secure messaging: leonardlefkovic@imspllc.allscriptsdirect.net

Organizations & group practices 2

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": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1548258270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 NEW DORP LN",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103062359",
            "telephone_number": "718-876-6220",
            "fax_number": "718-876-5969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 EDISON ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103063034",
            "telephone_number": "718-351-1136",
            "fax_number": "718-667-9711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEFKOVIC",
        "first_name": "LEONARD",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-06",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "146937",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00710283",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.