GRIGORY LEONTYEV (NPI# 1346322054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346322054 |
| Entity Type | Individual |
| Full Name | GRIGORY LEONTYEV |
| Credential | MD |
| Practice Address |
3304 Park Ave Oceanside NY 11572-4352 |
| Practice Telephone | 5162702126 |
| Practice Fax Number | 5162552072 |
| Mailing Telephone | 5162702126 |
| Mailing Fax Number | 5162552072 |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 228112-1 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
3304 PARK AVE |
| City | OCEANSIDE |
| State | NY |
| Zip Code | 11572-4352 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376152868 | True North Dialysis Center LLC | Clinic/Center | 3005 Long Beach Rd, Oceanside, NY 11572 | 2020-07-30 |
| 1508493560 | Mercedes Andreina Cardenas Pena | Student in an Organized Health Care Education/Training Program | 196 South Nassau, Oceanside, NY 11572 | 2020-03-26 |
| 1275170219 | Prohealth Dental Pllc | Dentist | 2870 Long Beach Road, Oceanside, NY 11572 | 2019-12-10 |
| 1982252409 | Fe Jaurigue | Nurse Practitioner | 2391 Washington Ave, Oceanside, NY 11572 | 2019-08-28 |
| 1689160749 | Emil A Tocci, Dc, PC | Chiropractor | 3091 Lawson Blvd, Oceanside, NY 11572 | 2018-07-02 |
| 1336652726 | Jennifer L Rodgers | Nurse Practitioner | 435 Kinsley Ct, Oceanside, NY 11572 | 2017-11-08 |
| 1205387859 | Joanne Hudkins | Nurse Practitioner | 3353 5th St, Oceanside, NY 11572 | 2016-10-19 |
| 1346693595 | Michelle Coletta-guadagno | Case Manager/Care Coordinator | 400 Oceanside Pkwy, Oceanside, NY 11572 | 2016-07-22 |
| 1831543271 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 3705 Hampton Rd, Oceanside, NY 11572 | 2016-04-22 |
| 1598170474 | Amy Daleo | Licensed Practical Nurse | 299 Waukena Ave, Oceanside, NY 11572 | 2014-06-30 |
| Find all providers in zip 11572 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184074098 | Tyler Brendan Draeger | Surgery | Mount Sinai South Nassau, 1 Healthy Way, Oceanside, NY 11572-1551 | 2016-06-21 |
| 1467544452 | Eric Rypins Md Facs Apc | Surgery | 2424 Vista Way, Ste 106, Oceanside, CA 92054-6178 | 2006-09-28 |
| 1902297807 | Florian Radu | Surgery | 1 Healthy Way, Oceanside, NY 11572-1551 | 2015-02-12 |
| 1457624595 | Adam S. Fierer Md, Inc. | Surgery | 3998 Vista Way, Suite C-200, Oceanside, CA 92056-4500 | 2012-02-21 |
| 1396059440 | Kristen Marie Blaker | Surgery | 3601 Vista Way Ste 203, Oceanside, CA 92056-4559 | 2010-07-31 |
| 1992934970 | Expert Surgeons of California Inc | Surgery | 3998 Vista Way, Suite 200, Oceanside, CA 92056-4500 | 2009-07-10 |
| 1811155765 | Hussna Wakily | Surgery | 3601 Vista Way Ste 203, Oceanside, CA 92056 | 2008-05-28 |
| 1891901583 | South Nassau Communities Hospital-surgical Oncology | Surgery | 1 Healthy Way, Breast Gyn Center, Oceanside, NY 11572-1551 | 2007-05-16 |
| 1962500470 | Ralph G Hesler, II, M.d., Inc | Surgery | 3927 Waring Rd, Suite A, Oceanside, CA 92056-4458 | 2006-09-20 |
| 1174561062 | Coastal Surgeons Medical Group | Surgery | 3998 Vista Way, Suite 200, Oceanside, CA 92056-4500 | 2006-06-03 |
| Find all providers in OCEANSIDE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.