Individual provider Active NPI

Rebecca J Leong, M.D.

  • Anesthesiology Physician
  • Wayland, MA
National Provider Identifier
1922089952
Registry record updated Nov 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
71309 Issued in MA
Practice address
22 Westway Rd
Wayland, MA 01778-2807
Phone
(508) 358-3432
NPI assigned
Nov 8, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 71309 MA Primary

Addresses

Primary practice location

22 Westway Rd
Wayland, MA 01778-2807

Mailing address

22 Westway Rd
Wayland, MA 01778-2807
Phone (508) 358-3432

Other identifiers 1

IdentifierTypeStateIssuer
3106101MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101104001435 MA Practitioner - Anesthesiology 9739373549 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Harvard Medical School, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
JJM Medical Services PCGroup PAC ID 6800950312, 36 clinicians
Anesthesia Consultants of Massachusetts LLCGroup PAC ID 3274905906, 9 clinicians

Practice addresses (Care Compare)

1440 Main St
Waltham, MA 02451-1631
Phone (781) 891-9300

50 Staniford St
Lbby Level
Boston, MA 02114-2544
Phone (617) 723-2015

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Boston Medical Center Corporation Current Accepting new patients
Anesthesia Consultants of Massachusetts LLC CurrentSince Jan 1, 2024 Accepting new patients
JJM Medical Services, PC Anesthesiology CurrentSince Aug 21, 2011 Accepting new patients

Locations

50 Staniford St
Lbby
Boston, MA 02114
Phone (617) 723-2015

91 Montvale Ave
Ste 103
Stoneham, MA 02180
Phone (781) 835-2111

1440 Main St
Waltham, MA 02451
Phone (781) 891-9300

5 Johnson Rd
Latham, NY 12110
Phone (518) 767-0869

Interoperability endpoints

  • Direct secure messaging: rleong139541@direct.bmc.masshiway.net
  • Direct secure messaging: rleong228926@direct.bostonchildrens.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416787200000",
    "number": "1922089952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 WESTWAY RD",
            "city": "WAYLAND",
            "state": "MA",
            "postal_code": "017782807",
            "telephone_number": "508-358-3432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 WESTWAY RD",
            "city": "WAYLAND",
            "state": "MA",
            "postal_code": "017782807",
            "telephone_number": "508-358-3432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONG",
        "first_name": "REBECCA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-08",
        "last_updated": "2014-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MA",
            "license": "71309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3106101",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayland, MA

Sources for this page

Verify at the official NPI Registry.