Sam a. Leuzzi

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

185975 Issued in NY

Legal business name

SAM A. LEUZZI

Practice address

78 Cromwell Ave
Suite B
Staten Island, NY 10304-3933

Phone

(718) 979-7900

Fax

(718) 979-8500

NPI assigned

Apr 23, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Sam Leuzzi

Title

President

Phone

(718) 979-7900

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Cromwell Pediatrics Doing business as

Locations

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

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1942475868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 CROMWELL AVE",
            "address_2": "SUITE B",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103043933",
            "telephone_number": "718-979-7900",
            "fax_number": "718-979-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 CROMWELL AVE",
            "address_2": "SUITE B",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103043933",
            "telephone_number": "718-979-7900",
            "fax_number": "718-979-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAM A. LEUZZI",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-23",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "LEUZZI",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-979-7900",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NY",
            "license": "185975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01265030",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cromwell Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Skyla Salvo, LMSW
• Victoria Salvo
• David Craig Salzberg, PT
• Amanda Salzer
• Erin Salzillo, FNP
• Sam Wang Physical Therapy PLLC
• Lionel Sam, MD
• Amanda Samaan
• Mark Samaan, PT, DPT
• Mona A Samaan, OTRL

• Pediatric Adolescent Medicine Physician in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Pediatric Adolescent Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.