Organization Active NPI

Dunn-Lea Medical PC

  • Family Medicine Physician
  • Woodside, NY
National Provider Identifier
1750622239
Registry record updated Mar 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
204175 Issued in NY
Legal business name
DUNN-LEA MEDICAL PC
Practice address
3096 51St St
Woodside, NY 11377-1457
Phone
(718) 204-1469
Fax
(718) 545-1726
NPI assigned
Mar 8, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2013

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

Authorized official

Name
Mrs. Gloria J Dunnder Leacock
Title
Physician
Phone
(718) 204-1469

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 204175 NY Primary

Addresses

Primary practice location

3096 51St St
Woodside, NY 11377-1457

Mailing address

440 E 20TH St
9B
New York, NY 10009-8208
Phone (718) 204-1469

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1362700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363046400000",
    "number": "1750622239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 E 20TH ST",
            "address_2": "9B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100098208",
            "telephone_number": "718-204-1469",
            "fax_number": "718-545-1726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3096 51ST ST",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113771457",
            "telephone_number": "718-204-1469",
            "fax_number": "718-545-1726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUNN-LEA MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-08",
        "last_updated": "2013-03-12",
        "status": "A",
        "authorized_official_last_name": "DUNNDER LEACOCK",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "718-204-1469",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "204175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2013; 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.