Leslie S T Fang, MD, PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

39471 Issued in MA

Legal business name

LESLIE S T FANG, MD, PC

Practice address

151 Merrimac St
3Rd Floor
Boston, MA 02114-4714

Phone

(617) 742-2054

Fax

(617) 742-3157

NPI assigned

Dec 30, 2008

Organization subpart

No

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

Authorized official

Name

Leslie Shu Tung Fang, MD,PHDNPI 1558351734

Title

Owner

Phone

(617) 742-2054

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Leslie Shu-Tung Fang, MD

  • Nephrology Physician
  • Boston, MA
  • NPI 1558351734
  Medicare reassignment NPD Authorized official
• Herbert Yah-Fuu Lin, MD PHD

  • Nephrology Physician
  • Boston, MA
  • NPI 1245211960

  Internal Medicine

  NPD (past)
• Waichi Wong, MD

  • Internal Medicine Physician
  • Boston, MA
  • NPI 1225019342
  NPD (past)

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

{
    "created_epoch": "1230595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230595200000",
    "number": "1871739649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 MERRIMAC ST",
            "address_2": "3RD FLOOR",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021144714",
            "telephone_number": "617-742-2054",
            "fax_number": "617-742-3157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 MERRIMAC ST",
            "address_2": "3RD FLOOR",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021144714",
            "telephone_number": "617-742-2054",
            "fax_number": "617-742-3157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LESLIE S T FANG, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-30",
        "last_updated": "2008-12-30",
        "status": "A",
        "authorized_official_last_name": "FANG",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "SHU TUNG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-742-2054",
        "authorized_official_credential": "MD,PHD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "39471",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "MA",
            "license": "39471",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Agnieszka Lesicka, M.D.
• Mallory N Lesieur, M.D.
• Leah Leske
• Eric David Leskowitz, MD
• Lesley Fields PSYD LLC
• Casandra May Leslie, MSW, LICSW
• David S Leslie, M.D.
• Laurel Kristin Leslie, M.D., M.P.H.
• Lisa Suzanne Leslie, MD
• Rebecca Marie Leslie

• Internal Medicine Physician in Boston, MA
• Providers in Boston, MA by specialty
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.