Active NPI
Joseph G. Leadon, M.D.
- Diagnostic Radiology Physician
- Fresh Meadows, NY
National Provider Identifier
1881644326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 169355-1
- Practice address
- 7107 Sutton Place, 2ND Floor
Fresh Meadows, NY 11365 - Phone
- (718) 380-2418
- Fax
- (718) 535-7999
- NPI assigned
- May 12, 2006
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 169355-1 | NY | Primary |
Addresses
Primary practice location
7107 Sutton Place, 2ND Floor
Fresh Meadows, NY 11365
Mailing address
7107 Sutton Place
2ND Floor
Fresh Meadows, NY 11365
Phone (718) 380-2418
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01833141 | Medicaid | NY |
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 |
|---|---|---|---|
| 169355-1 | NY | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Radiology | Past | Accepting new patients | |
| Stony Brook Radiologic Services PC | Diagnostic Radiology | Past | Accepting new patients |
| Interfaith Medical Center | Diagnostic Radiology | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Specialist
- Brooklyn, NY
- NPI 1861764540
-
dba IMC Associates
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1487695235
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Stony Brook, NY
- NPI 1295780112
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298851200000",
"number": "1881644326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7107 SUTTON PLACE",
"address_2": "2ND FLOOR",
"city": "FRESH MEADOWS",
"state": "NY",
"postal_code": "11365",
"telephone_number": "718-380-2418",
"fax_number": "718-535-7999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7107 SUTTON PLACE, 2ND FLOOR",
"city": "FRESH MEADOWS",
"state": "NY",
"postal_code": "11365",
"telephone_number": "718-380-2418",
"fax_number": "718-535-7999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEADON",
"first_name": "JOSEPH",
"middle_name": "G.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-12",
"last_updated": "2011-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "169355-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01833141",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fresh Meadows, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.