Leonard Joseph Marchetta, R-P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

003712 Issued in NY

Practice address

5405 Hylan Blvd
Staten Island, NY 10312-5241

Phone

(718) 948-5475

Fax

(718) 948-5479

NPI assigned

Aug 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Leonard Joseph Marchetta Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Practice roles

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

• Heartland Medical Services, P.C.

  • Internal Medicine Physician
  • Staten Island, NY
  • NPI 1942326665
  NPD (past)
• Heartland Psychological Services PC

  • Psychologist
  • Staten Island, NY
  • NPI 1801953450
  NPD (past)

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

{
    "created_epoch": "1156550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264118400000",
    "number": "1720196140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 JOHANNA LN",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103093632",
            "telephone_number": "917-837-2137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5405 HYLAN BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103125241",
            "telephone_number": "718-948-5475",
            "fax_number": "718-948-5479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCHETTA",
        "first_name": "LEONARD",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "R-P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-26",
        "last_updated": "2010-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "003712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEONARD",
            "last_name": "MARCHETTA",
            "middle_name": "JOSEPH",
            "prefix": "MR.",
            "credential": "R-P.A.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Danielle Dorothy Marcello, PHARM.D.
• Salvatore Anthony Marcello, PHARM. D.
• Ann Marchesano, M.D.
• Marina Marchese
• Robert Vito Marchese, PA
• Michael Thomas Marchiano
• Diana Marchione
• Gaye Marchisella, L.C.S.W.
• Joseph Marchisella, D.O.
• Krista Marchisella

• All providers in Staten Island, NY
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.