Individual provider Active NPI

Leslie Carmina Cespedes, M.D

  • Specialist
  • Huntington Station, NY
National Provider Identifier
1992765028
Registry record updated Apr 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
229149 Issued in NY
Practice address
33 Walt Whitman Rd Ste 240
Huntington Station, NY 11746-4297
Phone
(631) 470-4720
NPI assigned
Mar 24, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 229149 NY Primary

Addresses

Primary practice location

33 Walt Whitman Rd Ste 240
Huntington Station, NY 11746-4297

Mailing address

33 Walt Whitman Rd
Suite 240
Huntington Station, NY 11746-3640
Phone (631) 470-4720

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
I20040329001167 NY Practitioner - Internal Medicine 4385536713 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
JS Weill Medical College, Cornell University, 2003
Medicare assignment
May accept Medicare assignment
Group practices
Luz del Carmen Cespedes MD PLLCGroup PAC ID 2264446947, 2 clinicians

Practice addresses (Care Compare)

33 Walt Whitman Rd
Suite 235
Huntington Station, NY 11746-4295
Phone (631) 470-4720

National Provider Directory

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

Networks

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

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335312000000",
    "number": "1992765028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 WALT WHITMAN RD",
            "address_2": "SUITE 240",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117463640",
            "telephone_number": "631-470-4720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 WALT WHITMAN RD STE 240",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117464297",
            "telephone_number": "631-470-4720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CESPEDES",
        "first_name": "LESLIE",
        "middle_name": "CARMINA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-24",
        "last_updated": "2012-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "229149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Station, NY

Sources for this page

Verify at the official NPI Registry.