Organization Active NPI

Michigan Neurology Institute-East, P.C.

  • Neurology Physician
  • Roseville, MI
National Provider Identifier
1922132778
Registry record updated Jan 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
MICHIGAN NEUROLOGY INSTITUTE-EAST, P.C.
Practice address
25100 Kelly Rd
Roseville, MI 48066-4910
Phone
(586) 771-7440
Fax
(596) 771-9966
NPI assigned
Mar 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2015

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

Authorized official

Name
Mr. Boris J Leheta, MD
Title
President
Phone
(586) 771-7488

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

25100 Kelly Rd
Roseville, MI 48066-4910

Mailing address

25100 Kelly Rd
Roseville, MI 48066-4910
Phone (586) 771-7440

National Provider Directory

National Provider Directory

Locations

22201 Moross Rd
Ste 38
Detroit, MI 48236
Phone (313) 343-8300

22151 Moross Rd
Ste 108
Grosse Pointe, MI 48236

50505 Schoenherr Rd
Ste 220
Shelby Township, MI 48315
Phone (586) 771-7440

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421712000000",
    "number": "1922132778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25100 KELLY RD",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480664910",
            "telephone_number": "586-771-7440",
            "fax_number": "596-771-9966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25100 KELLY RD",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480664910",
            "telephone_number": "586-771-7440",
            "fax_number": "596-771-9966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN NEUROLOGY INSTITUTE-EAST, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2015-01-20",
        "status": "A",
        "authorized_official_last_name": "LEHETA",
        "authorized_official_first_name": "BORIS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-771-7488",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2015; 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.