Active NPI
Leonard D Mazefsky, DPM
- Foot & Ankle Surgery Podiatrist
- Pittsburgh, PA
National Provider Identifier
1952333163
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- SC001741L
- Practice address
- 419 Wyola St
Pittsburgh, PA 15211-1135 - Phone
- (412) 904-3410
- NPI assigned
- Jul 7, 2006
- Last updated
- Apr 14, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | SC001741L | PA | Primary |
Addresses
Primary practice location
419 Wyola St
Pittsburgh, PA 15211-1135
Mailing address
419 Wyola St
Pittsburgh, PA 15211-1135
Phone (412) 904-3410
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 480021580 | Other | RAILROAD MEDICARE | |
| 102095 | Other | UPMC HEALTH PLAN | |
| 1034770 | Other | GATEWAY HEALTH PLAN | |
| 000505630 | Medicaid | PA | |
| 4021368 | Other | AETNA | |
| 100435 | Other | BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SC001741L | PA | MD | Foot & Ankle Surgery Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397433600000",
"number": "1952333163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "419 WYOLA ST",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152111135",
"telephone_number": "412-904-3410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "419 WYOLA ST",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152111135",
"telephone_number": "412-904-3410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAZEFSKY",
"first_name": "LEONARD",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-07",
"last_updated": "2014-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "PA",
"license": "SC001741L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "480021580",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPMC HEALTH PLAN",
"identifier": "102095",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY HEALTH PLAN",
"identifier": "1034770",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000505630",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4021368",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "100435",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.