Individual provider Active NPI

John Lancelot Leonardo, M.D.

  • Anesthesiology Physician
  • Niagara Falls, NY
National Provider Identifier
1710999511
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
239613-1 Issued in NY
Practice address
1711 Cudaback Avenue
PMB 942825
Niagara Falls, NY 14303-1709
Phone
(646) 675-7622
NPI assigned
Aug 12, 2006
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 25MA08096800 NJ
Anesthesiology Physician 207L00000X 239613-1 NY Primary

Addresses

Primary practice location

1711 Cudaback Avenue
PMB 942825
Niagara Falls, NY 14303-1709

Mailing address

1711 Cudaback Avenue
PMB 942825
Niagara Falls, NY 14303-1709
Phone (646) 675-7622

Other practice location 1

30 W Century Rd
Paramus, NJ 07652-1433
Phone (201) 986-1003 ext. 589

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
239613-1NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Anesthesia Associates LLC Anesthesiology Past 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1710999511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 CUDABACK AVENUE",
            "address_2": "PMB 942825",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143031709",
            "telephone_number": "646-675-7622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 CUDABACK AVENUE",
            "address_2": "PMB 942825",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143031709",
            "telephone_number": "646-675-7622"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 W Century Rd",
            "address_purpose": "LOCATION",
            "city": "Paramus",
            "state": "NJ",
            "postal_code": "076521433",
            "country_code": "US",
            "telephone_number": "201-986-1003 x589",
            "fax_number": "201-986-1680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEONARDO",
        "first_name": "JOHN",
        "middle_name": "LANCELOT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA08096800",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "239613-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niagara Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.