Organization Active NPI

Leon NP Family Health Care PLLC

Doing business as Dermaduo Platelet Rich Plasma & Wellness Clinic

  • Family Medicine Physician
  • Smithtown, NY
National Provider Identifier
1710807524
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LEON NP FAMILY HEALTH CARE PLLC
Doing business as
Dermaduo Platelet Rich Plasma & Wellness Clinic
Practice address
23 Bellemeade Ave
Smithtown, NY 11787-1801
Phone
(646) 236-5620
NPI assigned
Jul 20, 2026
Last updated
Jul 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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

Authorized official

Name
Cynthia Leon, NP
Title
Nurse Practitioner
Phone
(631) 816-4792

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary
Gynecology Physician 207VG0400X

Addresses

Primary practice location

23 Bellemeade Ave
Smithtown, NY 11787-1801

Mailing address

23 Bellemeade Ave
Smithtown, NY 11787-1801
Phone (646) 236-5620

Other practice location 1

91 Broadway Ste 1&3
Greenlawn, NY 11740-1385
Phone (646) 236-5620

Other names 1

  • Dermaduo Platelet Rich Plasma & Wellness Clinic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1784505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784505600000",
    "number": "1710807524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 BELLEMEADE AVE",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117871801",
            "telephone_number": "646-236-5620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 BELLEMEADE AVE",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117871801",
            "telephone_number": "646-236-5620"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "91 Broadway Ste 1&3",
            "address_purpose": "LOCATION",
            "city": "Greenlawn",
            "state": "NY",
            "postal_code": "117401385",
            "country_code": "US",
            "telephone_number": "646-236-5620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LEON NP FAMILY HEALTH CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-20",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A",
        "authorized_official_last_name": "LEON",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "631-816-4792",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dermaduo Platelet Rich Plasma & Wellness Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Smithtown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; 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.