Individual provider Active NPI

Leon Perry Perlstein, DPM

  • Podiatrist
  • Tamarac, FL
National Provider Identifier
1821087180
Registry record updated Feb 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO3054 Issued in FL
Practice address
5961 NW 61St Ave Apt 101
Tamarac, FL 33319-2217
Phone
(754) 666-3338
Fax
(754) 200-6057
NPI assigned
Oct 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO3054 FL Primary

Addresses

Primary practice location

5961 NW 61St Ave Apt 101
Tamarac, FL 33319-2217

Mailing address

2520 Marina Bay Dr E
Suite 104
Ft Lauderdale, FL 33312-2320
Phone (786) 315-1111

Other practice location 1

10456 NW 24th Pl Apt 207
Sunrise, FL 33322-6357
Phone (754) 666-3338

Other identifiers 1

IdentifierTypeStateIssuer
15280200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040204000063 FL Practitioner - Podiatry 3678466729 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5300 W 16 Ave
Hialeah, FL 33012-2104
Phone (305) 290-3801

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue12
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Leon P Perlstein, D.P.M., P.a. Podiatrist CurrentSince Jan 22, 2016 Accepting new patients
Leon P. Perlstein, DPM, PA Podiatrist Current Accepting new patients
Mark E Pomper MD PA Past Accepting new patients
Phillip D.Decubellis PA Past Accepting new patients

Locations

5300 W 16th Ave
Hialeah, FL 33012
Phone (305) 290-3801

9380 NW 7th Ave
Miami Shores, FL 33150
Phone (305) 759-8711

2975 NW 99th Way
Pompano Beach, FL 33065
Phone (954) 228-6700

6855 NW 70th Ave
Tamarac, FL 33321
Phone (954) 224-8359

Organizations & group practices 4

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": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549411200000",
    "number": "1821087180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 MARINA BAY DR E",
            "address_2": "SUITE 104",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333122320",
            "telephone_number": "786-315-1111",
            "fax_number": "754-200-6057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5961 NW 61ST AVE APT 101",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333192217",
            "telephone_number": "754-666-3338",
            "fax_number": "754-200-6057"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10456 NW 24th Pl Apt 207",
            "address_purpose": "LOCATION",
            "city": "Sunrise",
            "state": "FL",
            "postal_code": "333226357",
            "country_code": "US",
            "telephone_number": "754-666-3338",
            "fax_number": "754-200-6057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERLSTEIN",
        "first_name": "LEON",
        "middle_name": "PERRY",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-19",
        "last_updated": "2019-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO3054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "15280200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamarac, FL

Sources for this page

Verify at the official NPI Registry.