Individual provider Active NPI

Cheryl B Leverton, MSED

  • Specialist
  • Pomona, NY
National Provider Identifier
1689937583
Registry record updated Jun 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
654866951 Issued in NY
Practice address
14 White Birch Dr
Pomona, NY 10970-3405
Phone
(845) 596-8193
NPI assigned
Jun 17, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 654866951 NY Primary

Addresses

Primary practice location

14 White Birch Dr
Pomona, NY 10970-3405

Mailing address

14 White Birch Dr
Pomona, NY 10970-3405
Phone (845) 596-8193

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
654866951NYMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1339891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339891200000",
    "number": "1689937583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 WHITE BIRCH DR",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "109703405",
            "telephone_number": "845-596-8193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 WHITE BIRCH DR",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "109703405",
            "telephone_number": "845-596-8193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVERTON",
        "first_name": "CHERYL",
        "middle_name": "B",
        "credential": "MSED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-17",
        "last_updated": "2012-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "654866951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2012; 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.