Leslie Theodore, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

185234 Issued in NY

Practice address

1545 Atlantic Ave
Brooklyn, NY 11213-1122

Phone

(800) 376-5566

NPI assigned

Aug 9, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Care Plus Medical, PC

  • General Practice Physician
  • Brooklyn, NY
  • NPI 1962648964
  Authorized official Same address or phone
• LDT Medical,PC

  • Clinic/Center
  • Rosedale, NY
  • NPI 1801193875
  Authorized official Same address or phone
• TDL Medical,PC

  • Health Service Clinic/Center
  • Brooklyn, NY
  • NPI 1922306901
  Authorized official Same address or phone
• Cornerstone Medical Center

  • General Practice Physician
  • Royal Palm Beach, FL
  • NPI 1326218090
  NPD (past) Authorized official
• Hilltop Medical Diagnostic and Treatment Center

  • Multi-Specialty Clinic/Center
  • Bellerose, NY
  • NPI 1275627135
  NPD (past)

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710997879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "683 HALF HOLLOW RD",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117466232",
            "telephone_number": "631-960-2544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 ATLANTIC AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112131122",
            "telephone_number": "800-376-5566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEODORE",
        "first_name": "LESLIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "185234",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01374203",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kisha Theodore-Webb, RN
• Cindy Theodore
• Faradja Theodore
• Judy Theodore
• Kadidja Theodore
• Fernand F Theogene, M.D
• Marie-Cendy Theophile
• Shervone Theophilus, RN
• Thepurebaker, LLC (ABA Strategies)
• Thera Concept Physical Therapy PC

• Internal Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Internal Medicine Physician in New York

• 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.