Individual provider Active NPI

Linda Maritza Leones, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Jenkintown, PA
National Provider Identifier
1639712466
Registry record updated Oct 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
OA005075 Issued in PA
Practice address
1653 The Fairway Ste 216
Jenkintown, PA 19046-1420
Phone
(215) 234-7694
NPI assigned
Oct 24, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363A00000X OA005075 PA Primary

Addresses

Primary practice location

1653 The Fairway Ste 216
Jenkintown, PA 19046-1420

Mailing address

932 N Randolph St Apt 2
Philadelphia, PA 19123-1408
Phone (786) 531-3795

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230323001737 DC Practitioner - Physician Assistant 1658702006 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neighborhood HealthGroup PAC ID 7517853419, 48 clinicians

Practice addresses (Care Compare)

2 E Glebe Rd
Alexandria, VA 22305-2938
Phone (703) 535-5568

8221 Willow Oaks Dr
Fairfax, VA 22031-4512
Phone (703) 535-5568

Hospital & facility affiliations

  • Inova Fairfax Hospital Hospital, Falls Church, VA, CCN 490063

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
OA005075PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Health Physician Assistant CurrentSince Dec 13, 2022 Accepting new patients
Neighborhood Health CurrentSince Dec 13, 2022 Accepting new patients
Delaware Valley Community Health, Inc. CurrentSince Apr 27, 2020 Accepting new patients
Delaware Valley Community Health, Inc. Single Specialty CurrentSince Apr 27, 2020 Accepting new patients
Neighborhood Health Past Accepting new patients

Locations

1412 Fairmount Ave
Philadelphia, PA 19130
Phone (215) 235-9600

8350 Richmond Hwy
Ste 301
Alexandria, VA 22309
Phone (703) 535-6913

2 E Glebe Rd
Alexandria, VA 22305
Phone (703) 535-6913

1225 Martha Custis Dr
Ste C1
Alexandria, VA 22302
Phone (703) 671-2700

6715 Little River Tpke
Ste 201
Annandale, VA 22003
Phone (703) 914-3640

8221 Willow Oaks Corporate Dr
Ste 450
Fairfax, VA 22031
Phone (703) 237-3446

Interoperability endpoints

  • Direct secure messaging: linda.leones.p1@direct.dvch.nextgenshare.com
  • Direct secure messaging: linda.leones@nhnva.eclinicaldirectplus.com

Organizations & group practices 6

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1571875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571875200000",
    "number": "1639712466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "932 N RANDOLPH ST APT 2",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191231408",
            "telephone_number": "786-531-3795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1653 THE FAIRWAY STE 216",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190461420",
            "telephone_number": "215-234-7694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONES",
        "first_name": "LINDA",
        "middle_name": "MARITZA",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-24",
        "last_updated": "2019-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA005075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jenkintown, PA

Sources for this page

Verify at the official NPI Registry.