Active NPI
Leslie Bardun, HIS
- Hearing Instrument Specialist
- Lake Grove, NY
National Provider Identifier
1619503729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 14000058890
- Practice address
- 2780 Middle Country Rd
Lake Grove, NY 11755-2124 - Phone
- (631) 333-7864
- NPI assigned
- Mar 20, 2020
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 14000058890 | NY | Primary |
Addresses
Primary practice location
2780 Middle Country Rd
Lake Grove, NY 11755-2124
Mailing address
2780 Middle Country Rd
Lake Grove, NY 11755-2124
Phone (631) 333-7864
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lbardun@frasierenterprises.com | Direct | |
| Other URL | lbardun@frasierenterprises.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14000058890 | NY | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584662400000",
"number": "1619503729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2780 MIDDLE COUNTRY RD",
"city": "LAKE GROVE",
"state": "NY",
"postal_code": "117552124",
"telephone_number": "631-333-7864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2780 MIDDLE COUNTRY RD",
"city": "LAKE GROVE",
"state": "NY",
"postal_code": "117552124",
"telephone_number": "631-333-7864"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARDUN",
"first_name": "LESLIE",
"credential": "HIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-20",
"last_updated": "2020-03-20",
"certification_date": "2020-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "NY",
"license": "14000058890",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lbardun@frasierenterprises.com",
"affiliation": "N",
"endpointDescription": "email address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2780 Middle Country Rd",
"city": "Lake Grove",
"state": "NY",
"country_code": "US",
"postal_code": "117552124",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "lbardun@frasierenterprises.com",
"affiliation": "N",
"endpointDescription": "work email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"contentOtherDescription": "message",
"address_1": "2780 Middle Country Rd",
"city": "Lake Grove",
"state": "NY",
"country_code": "US",
"postal_code": "117552124",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Lake Grove, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.