Roberta E Leon, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

141699 Issued in NY

Practice address

47 Kew Gardens Rd
Kew Gardens, NY 11415-1100

Phone

(718) 268-9059

Fax

(718) 261-0134

NPI assigned

Dec 1, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1291161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291161600000",
    "number": "1922300615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 KEW GARDENS RD",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114151100",
            "telephone_number": "718-268-9059",
            "fax_number": "718-261-0134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 KEW GARDENS RD",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114151100",
            "telephone_number": "718-268-9059",
            "fax_number": "718-261-0134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEON",
        "first_name": "ROBERTA",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-01",
        "last_updated": "2010-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "141699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spencer Evan Lee, PHARM.D.
• Stacey Lefkowitz, OT
• Lens Express Optical, Inc
• Noelle Elizabeth Lenti-Nightengale, RN
• Gustavo Adolfo Leon Giron
• Shirley V. Leon, M.S. SPED
• Lerner Physical Therapy, PLLC
• Jennifer Rachel Levin, LCSW
• Leah Levy
• Kaitlyn Ann Lewis, MTBC

• Specialist in Kew Gardens, NY
• Providers in Kew Gardens, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2010; 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.