Individual provider Active NPI

Jeffrey Leitman, D.O.

  • Family Medicine Physician
  • New York, NY
National Provider Identifier
1952448797
Registry record updated Apr 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MB31922 Issued in NJ
Practice address
120 E 86TH St FL 2
New York, NY 10028-1062
Phone
(212) 427-2000
Fax
(212) 427-2008
NPI assigned
Jan 31, 2007
Last updated
Apr 12, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MB31922 NJ Primary
Internal Medicine Physician 207R00000X 247228-1 NY

Addresses

Primary practice location

120 E 86TH St FL 2
New York, NY 10028-1062

Mailing address

120 E 86TH St FL 2
New York, NY 10028-1062
Phone (212) 427-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20110427000104 NY Practitioner - Family Practice 4284697780 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MB31922NJMDFamily Medicine Physician
247228-1NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kennedy Care Center,P.a. Family Medicine PastSince Sep 1, 1981 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: drleitman@pamp.direct.medicscloud.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365724800000",
    "number": "1952448797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 E 86TH ST FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100281062",
            "telephone_number": "212-427-2000",
            "fax_number": "212-427-2008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E 86TH ST FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100281062",
            "telephone_number": "212-427-2000",
            "fax_number": "212-427-2008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEITMAN",
        "first_name": "JEFFREY",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2013-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MB31922",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "247228-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.