Active NPI
Leonard Wisotsky
- Durable Medical Equipment & Medical Supplies
- Oxon Hill, MD
National Provider Identifier
1912178377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- LEONARD WISOTSKY
- Practice address
- 6188 Oxon Hill Rd
Suite 804
Oxon Hill, MD 20745-3113 - Phone
- (301) 567-5005
- Fax
- (301) 839-5677
- NPI assigned
- Mar 13, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Leonard Wisotsky, D.P.M.
- Title
- Owner/Podiatrist
- Phone
- (301) 567-5005
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
6188 Oxon Hill Rd
Suite 804
Oxon Hill, MD 20745-3113
Mailing address
6188 Oxon Hill Rd
Suite 804
Oxon Hill, MD 20745-3113
Phone (301) 567-5005
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08378 | Other | MD | AMERIGROUP |
| 27496 | Other | MD | PRIORITY PARTNERS |
| P00152532 | Other | MD | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205366400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1205366400000",
"number": "1912178377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6188 OXON HILL RD",
"address_2": "SUITE 804",
"city": "OXON HILL",
"state": "MD",
"postal_code": "207453113",
"telephone_number": "301-567-5005",
"fax_number": "301-839-5677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6188 OXON HILL RD",
"address_2": "SUITE 804",
"city": "OXON HILL",
"state": "MD",
"postal_code": "207453113",
"telephone_number": "301-567-5005",
"fax_number": "301-839-5677"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEONARD WISOTSKY",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-13",
"last_updated": "2008-03-13",
"status": "A",
"authorized_official_last_name": "WISOTSKY",
"authorized_official_first_name": "LEONARD",
"authorized_official_title_or_position": "OWNER/PODIATRIST",
"authorized_official_telephone_number": "301-567-5005",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.P.M."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "08378",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIORITY PARTNERS",
"identifier": "27496",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00152532",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oxon Hill, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.