Organization Active NPI

Leonard Wisotsky

  • Durable Medical Equipment & Medical Supplies
  • Oxon Hill, MD
National Provider Identifier
1912178377
Registry record updated Mar 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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

Updated by the provider on Mar 13, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
08378OtherMDAMERIGROUP
27496OtherMDPRIORITY PARTNERS
P00152532OtherMDRAILROAD MEDICARE

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.