NPIMap

Individual provider Active NPI

Reade Andrew De Leacy, M.D.

  • Neurological Surgery Physician
  • New York, NY
National Provider Identifier
1982045845
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
271229 Issued in NY
Practice address
1450 Madison Avenue, Box 1136
Klingenstein Clinical Center, 1-North
New York, NY 10029-6574
Phone
(212) 241-3400
Fax
(646) 537-2299
NPI assigned
Jul 8, 2013
Last updated
Oct 16, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 271229 NY Primary
Neuroradiology Physician 2085N0700X P87714 NY

Addresses

Primary practice location

1450 Madison Avenue, Box 1136
Klingenstein Clinical Center, 1-North
New York, NY 10029-6574

Mailing address

229 W 60TH St
Apartment 16M
New York, NY 10023-7497

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151203002811 NY Practitioner - Neurosurgery 9436459013 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1 Gustave Levy Place
Mount Sinai (Ambsurg)
New York, NY 10029-6500
Phone (212) 731-6761

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P87714NYMDNeuroradiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Affiliate Group of New York PC CurrentSince Dec 21, 2024 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Jan 12, 2020 Accepting new patients
Icahn School of Medicine at Mount Sinai Neurological Surgery CurrentSince Sep 24, 2015 Accepting new patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
Icahn School of Medicine at Mount Sinai Neuroradiology CurrentSince Jan 12, 2020 Accepting new patients
Fpa Hospital Based Current Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Sep 24, 2015 Accepting new patients
Fpa Hospital Based CurrentSince Feb 1, 2016 Accepting new patients
Fpa Hospital Based CurrentSince Feb 1, 2016 Accepting new patients
St Lukes Roosevelt Hospital Center Past Accepting new patients
Mount Sinai Hospital Past Accepting new patients

Locations

2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354

7901 Broadway
Rm A119
Elmhurst, NY 11373
Phone (718) 334-4951

13620 38th Ave
Ste 5F
Flushing, NY 11354
Phone (347) 909-7041

1176 5th Ave
New York, NY 10029
Phone (212) 241-6237

1450 Madison Ave
#1136
New York, NY 10029
Phone (212) 214-3400

1470 Madison Ave
New York, NY 10029
Phone (212) 241-0806

5 E 98th St
Fl 5
New York, NY 10029
Phone (212) 241-8234

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

1010 N Broadway
Yonkers, NY 10701
Phone (914) 968-3535

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: rdeleacy1237480@nychhc.direct-ci.com

Organizations & group practices 11

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1373241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1982045845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 W 60TH ST",
            "address_2": "APARTMENT 16M",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100237497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 MADISON AVENUE, BOX 1136",
            "address_2": "KLINGENSTEIN CLINICAL CENTER, 1-NORTH",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296574",
            "telephone_number": "212-241-3400",
            "fax_number": "646-537-2299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LEACY",
        "first_name": "READE",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-08",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NY",
            "license": "271229",
            "primary": true
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "NY",
            "license": "P87714",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.