Active NPI
Carl M Leichter, M.D.
- Dermatology Physician
- Scottsdale, AZ
National Provider Identifier
1801893607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 308999
- Practice address
- 38375 N 102ND St
Scottsdale, AZ 85262-3012 - Phone
- (516) 967-1132
- NPI assigned
- Jul 7, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 126210-1 | NY | |
| Dermatology Physician | 207N00000X | 308999 | AZ | Primary |
Addresses
Primary practice location
38375 N 102ND St
Scottsdale, AZ 85262-3012
Mailing address
38375 N 102ND St
Scottsdale, AZ 85262-3012
Phone (516) 967-1132
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
| License | State | Type | Specialty |
|---|---|---|---|
| 308999 | AZ | MD | Dermatology Physician |
| 126210-1 | NY | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Nassau Dermatology P.C. | Dermatology | Current | Accepting new patients |
Locations
2900 Hempstead Tpke
Levittown, NY 11756
Phone (516) 520-5500
303 E Park Ave
Long Beach, NY 11561
Phone (516) 431-2020
258 Merrick Rd
Oceanside, NY 11572
Phone (516) 766-0345
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488326400000",
"number": "1801893607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38375 N 102ND ST",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852623012",
"telephone_number": "516-967-1132",
"fax_number": "516-766-4690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38375 N 102ND ST",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852623012",
"telephone_number": "516-967-1132"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEICHTER",
"first_name": "CARL",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-07",
"last_updated": "2017-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NY",
"license": "126210-1",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "AZ",
"license": "308999",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.