Individual provider Active NPI

Garwood Emerson Leckband, MD

  • Cardiovascular Disease Physician
  • Lewiston, NY
National Provider Identifier
1659350601
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
090865 Issued in NY
Practice address
5320 Military Rd
Suite 105
Lewiston, NY 14092-2149
Phone
(716) 297-1686
Fax
(716) 297-1706
NPI assigned
Jan 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 090865 NY Primary

Addresses

Primary practice location

5320 Military Rd
Suite 105
Lewiston, NY 14092-2149

Mailing address

5320 Military Rd
Suite 105
Lewiston, NY 14092-2149
Phone (716) 297-1686

Other identifiers 4

IdentifierTypeStateIssuer
2111703OtherNYINDEPENDENT HEALTH
00026277202OtherNYUNIVERA
000497468004OtherNYCOMMUNITY BLUE
00144376MedicaidNY

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
090865NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Zina D. Hajduczok, M.D.P.C. Cardiovascular Disease PastSince Jan 1, 2003 Accepting new patients

Organizations & group practices 1

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": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659350601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5320 MILITARY RD",
            "address_2": "SUITE 105",
            "city": "LEWISTON",
            "state": "NY",
            "postal_code": "140922149",
            "telephone_number": "716-297-1686",
            "fax_number": "716-297-1706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5320 MILITARY RD",
            "address_2": "SUITE 105",
            "city": "LEWISTON",
            "state": "NY",
            "postal_code": "140922149",
            "telephone_number": "716-297-1686",
            "fax_number": "716-297-1706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LECKBAND",
        "first_name": "GARWOOD",
        "middle_name": "EMERSON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "090865",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "2111703",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00026277202",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY BLUE",
            "identifier": "000497468004",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00144376",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.