Active NPI
Joshua Leonardo
- Physician Assistant
- Forest Hills, NY
National Provider Identifier
1831409119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 014414
- Practice address
- 10201 66TH Rd
Forest Hills, NY 11375-2029 - Phone
- (718) 830-4000
- NPI assigned
- Oct 20, 2010
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 014414 | NY | Primary |
Addresses
Primary practice location
10201 66TH Rd
Forest Hills, NY 11375-2029
Mailing address
531 Windsor St
Westbury, NY 11590-5945
Phone (516) 428-2828
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 014414 | NY | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287619200000",
"number": "1831409119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "531 WINDSOR ST",
"city": "WESTBURY",
"state": "NY",
"postal_code": "115905945",
"telephone_number": "516-428-2828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10201 66TH RD",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113752029",
"telephone_number": "718-830-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEONARDO",
"first_name": "JOSHUA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-10-20",
"last_updated": "2010-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "014414",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Forest Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.