Individual provider Active NPI

Leunnith Fioravante, SA-C

  • Surgical Assistant
  • West New York, NJ
National Provider Identifier
1659943629
Registry record updated Jul 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
License
21-314 Issued in NY
Practice address
6040 Kennedy Blvd E Apt 23
West New York, NJ 07093-3825
Phone
(312) 927-8722
NPI assigned
Jul 10, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Assistant 246ZC0007X 21-314 NY Primary

Addresses

Primary practice location

6040 Kennedy Blvd E Apt 23
West New York, NJ 07093-3825

Mailing address

6040 Kennedy Blvd E Apt 23
West New York, NJ 07093-3825
Phone (312) 927-8722

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
21-314NYMDSurgical Assistant

NPI Registry JSON

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

{
    "created_epoch": "1625875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625875200000",
    "number": "1659943629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6040 KENNEDY BLVD E APT 23",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070933825",
            "telephone_number": "312-927-8722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6040 KENNEDY BLVD E APT 23",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070933825",
            "telephone_number": "312-927-8722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIORAVANTE",
        "first_name": "LEUNNITH",
        "credential": "SA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-10",
        "last_updated": "2021-07-10",
        "certification_date": "2021-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "NY",
            "license": "21-314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West New York, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2021; 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.