Leonard Dzubow MD PC

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

Legal business name

LEONARD DZUBOW MD PC

Practice address

101 Chesley Dr
Media, PA 19063-1761

Phone

(484) 621-0082

Fax

(484) 621-0083

NPI assigned

May 23, 2006

Last updated

Sep 13, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Leonard Dzubow, MDNPI 1790778199

Title

President

Phone

(484) 621-0082

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Leonard Mark Dzubow, MD

  • MOHS-Micrographic Surgery Physician
  • Media, PA
  • NPI 1790778199
  Authorized official Same address or phone
• Joseph William Laskas, D.O.

  • Dermatology Physician
  • Media, PA
  • NPI 1659538148
  NPD (past)
• Jeffrey K McKenna, MD

  • MOHS-Micrographic Surgery Physician
  • Charleston, IL
  • NPI 1396713780
  NPD (past)
• Megan Leigh Tingey, PA-C

  • Physician Assistant
  • Ogden, UT
  • NPI 1588746937
  NPD (past)

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284336000000",
    "number": "1568417467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 CHESLEY DR",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190631761",
            "telephone_number": "484-621-0082",
            "fax_number": "484-621-0083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CHESLEY DR",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190631761",
            "telephone_number": "484-621-0082",
            "fax_number": "484-621-0083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEONARD DZUBOW MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2010-09-13",
        "status": "A",
        "authorized_official_last_name": "DZUBOW",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "484-621-0082",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DG8309",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "1471277",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynn Leman, PA-C
• Lynda Lemisch
• Ari Lenchner, R.AC.
• Leon M Mielcarek Jr MD PC (Mielcarek Eye Associates)
• Leonard Dzubow Ambulatory Surgical Center LLC
• Leunissen & Leunissen P.C. (Medical Cardiology Associates)
• George M. Leute III
• Elizabeth Leveire, RBT
• Scott Eric Levy, D.D.S.
• Lewis Family Practice PC

• MOHS-Micrographic Surgery Physician in Media, PA
• Providers in Media, PA by specialty
• MOHS-Micrographic Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.