JACKIE LEONG M.D. NPI 1629170782

NPI Information

NPI: 1629170782
Provider Name: JACKIE LEONG, M.D.
Classification: Radiology - 2085B0100X
Entity Type: Individual

Specialization: Body Imaging

Address:
1419 35TH ST
BROOKLYN, NY
ZIP 11218
Phone: (914) 747-2438
Get Directions

Jackie Leong, M.D. is a body imaging radiology in Brooklyn, NY. The provider is a Radiology doctor of Osteopathy that specializes in Body Imaging. Jackie Leong, M.D. NPI is 1629170782. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1419 35TH ST
BROOKLYN, NY
ZIP 11218-727
Phone: (914) 747-2438

The enumeration date for this NPI number is 9/1/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085B0100X	Radiology	Body Imaging	25MA05941500	NEW JERSEY	Yes
2	2085N0904X	Radiology	Nuclear Radiology	25MA05941500	NEW JERSEY	X
3	2085R0202X	Radiology	Diagnostic Radiology	25MA05941500	NEW JERSEY	X
4	2085U0001X	Radiology	Diagnostic Ultrasound	25MA05941500	NEW JERSEY	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	089873	MEDICARE ID-TYPE UNSPECIFIED	NEW JERSEY
2	0058289	MEDICAID	NEW JERSEY
3	F26545	MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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