Organization Active NPI

Stuart Leff DPM, P.C.

  • Podiatrist
  • Saint Clair Shores, MI
National Provider Identifier
1962609974
Registry record updated Oct 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
5901000543 Issued in MI
Legal business name
STUART LEFF DPM, P.C.
Practice address
25915 Harper Ave
Saint Clair Shores, MI 48081-3770
Phone
(586) 776-6640
Fax
(586) 776-2144
NPI assigned
Jul 2, 2007
Last updated
Oct 3, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2007

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

Authorized official

Name
Dr. Stuart Gerald Leff, DPM
Title
President
Phone
(586) 776-6640

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X 5901000543 MI
Podiatrist 213E00000X 5901000543 MI Primary

Addresses

Primary practice location

25915 Harper Ave
Saint Clair Shores, MI 48081-3770

Mailing address

25915 Harper Ave
Saint Clair Shores, MI 48081-3770
Phone (586) 776-6640

Other identifiers 1

IdentifierTypeStateIssuer
1698596MedicaidMI

National Provider Directory

National Provider Directory

Locations

25915 Harper Ave
St Clr Shores, MI 48081
Phone (586) 776-6640

NPI Registry JSON

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191369600000",
    "number": "1962609974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25915 HARPER AVE",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480813770",
            "telephone_number": "586-776-6640",
            "fax_number": "586-776-2144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25915 HARPER AVE",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480813770",
            "telephone_number": "586-776-6640",
            "fax_number": "586-776-2144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STUART LEFF DPM, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-02",
        "last_updated": "2007-10-03",
        "status": "A",
        "authorized_official_last_name": "LEFF",
        "authorized_official_first_name": "STUART",
        "authorized_official_middle_name": "GERALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-776-6640",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "MI",
            "license": "5901000543",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5901000543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1698596",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clair Shores, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2007; 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.