Individual provider Active NPI

Cynthia C Leung, D.D.S., M.S.D.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Little Neck, NY
National Provider Identifier
1639319338
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
054270-1 Issued in NY
Practice address
25503 Northern Blvd FL 1
Little Neck, NY 11362-1461
Phone
(718) 225-8828
Fax
(646) 770-1999
NPI assigned
Feb 20, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 054270-1 NY Primary

Addresses

Primary practice location

25503 Northern Blvd FL 1
Little Neck, NY 11362-1461

Mailing address

25503 Northern Blvd
Little Neck, NY 11362-1461
Phone (718) 225-8828

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

LicenseStateTypeSpecialty
054270-1NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Caliper Orthodontics PLLC Orthodontics and Dentofacial Orthopedics CurrentSince Sep 5, 2023 Accepting new patients
Ac Dental Past Accepting new patients

Locations

25503 Northern Blvd
Fl 1
Little Neck, NY 11362
Phone (718) 225-8828

25503 Northern Blvd
Little Neck, NY 11362
Phone (718) 225-8828

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": "1235088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1639319338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25503 NORTHERN BLVD",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "113621461",
            "telephone_number": "718-225-8828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25503 NORTHERN BLVD FL 1",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "113621461",
            "telephone_number": "718-225-8828",
            "fax_number": "646-770-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEUNG",
        "first_name": "CYNTHIA",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-20",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "054270-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; 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.