Active NPI
Leonard Jay Shukovsky, M.D.
- Therapeutic Radiology Physician
- Naples, FL
National Provider Identifier
1780938829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Therapeutic Radiology Physician
- License
- ME 24906
- Practice address
- 6927 Greentree Dr
Naples, FL 34108-8528 - Phone
- (239) 591-4138
- NPI assigned
- Oct 27, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Therapeutic Radiology Physician | 2085R0203X | ME 24906 | FL | Primary |
Addresses
Primary practice location
6927 Greentree Dr
Naples, FL 34108-8528
Mailing address
6927 Greentree Dr
Naples, FL 34108-8528
Phone (239) 591-4138
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ME 24906 | Other | FL | STATE MEDICAL LICENSE |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 24906 | FL | MD | Therapeutic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351296000000",
"number": "1780938829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6927 GREENTREE DR",
"city": "NAPLES",
"state": "FL",
"postal_code": "341088528",
"telephone_number": "239-591-4138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6927 GREENTREE DR",
"city": "NAPLES",
"state": "FL",
"postal_code": "341088528",
"telephone_number": "239-591-4138"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHUKOVSKY",
"first_name": "LEONARD",
"middle_name": "JAY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-10-27",
"last_updated": "2012-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0203X",
"taxonomy_group": "",
"desc": "Radiology, Therapeutic Radiology",
"state": "FL",
"license": "ME 24906",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE MEDICAL LICENSE",
"identifier": "ME 24906",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Naples, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.