Individual provider Active NPI

Olga Leonardi, MD

  • Specialist
  • New York, NY
National Provider Identifier
1982666004
Registry record updated Nov 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
2257241 Issued in NY
Practice address
130 W 12TH St
New York, NY 10011-8271
Phone
(212) 675-9332
Fax
(212) 604-3844
NPI assigned
Apr 4, 2006
Last updated
Nov 14, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 2257241 NY Primary

Addresses

Primary practice location

130 W 12TH St
New York, NY 10011-8271

Mailing address

130 W 12TH St Apt 7D
New York, NY 10011-8253
Phone (212) 675-9332

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
I20040607000355 NY Practitioner - Endocrinology 3870575418 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

80 5TH Ave
RM 1006
New York, NY 10011-8017
Phone (212) 414-8248

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2257241NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Manhattan Endocrinologist PLLC CurrentSince Jan 25, 2007 Accepting new patients

Locations

80 5th Ave
Rm 1006
New York, NY 10011
Phone (212) 414-8248

Organizations & group practices 1

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 7

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": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415923200000",
    "number": "1982666004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 W 12TH ST APT 7D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100118253",
            "telephone_number": "212-675-9332",
            "fax_number": "212-604-3844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 W 12TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100118271",
            "telephone_number": "212-675-9332",
            "fax_number": "212-604-3844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONARDI",
        "first_name": "OLGA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-04",
        "last_updated": "2014-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "2257241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.