DR. LEANDRO NICOLAS SLIPCZUK BUSTAMANTE


Address: 5501 Old York Rd, Philadelphia, PA 19141-3018
Phone: 8003467834

DR. LEANDRO NICOLAS SLIPCZUK BUSTAMANTE (NPI# 1134431000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134431000
Entity Type Individual
Full Name DR. LEANDRO NICOLAS SLIPCZUK BUSTAMANTE
Credential MD, PHD
Practice Address 5501 Old York Rd
Philadelphia
PA 19141-3018
Mailing Address 1516 Pine St
Philadelphia
PA 19102-4604
Practice Telephone 8003467834
Mailing Telephone 2674552717
Enumeration Date 2010-07-08
Last Update Date 2017-03-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207R00000X Internal Medicine MT196711 PA Allopathic & Osteopathic Physicians
Y 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
MD457092 PA Allopathic & Osteopathic Physicians

Office Location

Street Address 5501 OLD YORK RD
City PHILADELPHIA
State PA
Zip Code 19141-3018

Providers in the same location

NPI Name Taxonomy Address Enumeration
1518962331 Sean Janzer Internal Medicine 5501 Old York Rd, 4th Floor Willowcrest, Philadelphia, PA 19141-3018 2005-06-17
1740897594 Tajmia G Mcintosh Nurse Practitioner 5501 Old York Rd, Philadelphia, PA 19141-3018 2020-09-25
1104433200 Juan Pablo Solano Romero Student in an Organized Health Care Education/Training Program 5501 Old York Rd, Philadelphia, PA 19141-3018 2020-09-23
1205442233 Rasha Elrefai Pediatrics 5501 Old York Rd, Philadelphia, PA 19141-3018 2020-09-15
1124633847 Maria Carolina Musri Internal Medicine 5501 Old York Rd, Philadelphia, PA 19141-3018 2020-09-10
1295345916 Bakhtawer Siraj Internal Medicine 5501 Old York Rd, Philadelphia, PA 19141-3018 2020-08-06
1699383091 Sreenagavishnuvardha Motupalli Internal Medicine 5501 Old York Rd, Philadelphia, PA 19141-3018 2020-07-21
1750909222 Raja Srinivas Boddepalli Internal Medicine 5501 Old York Rd, Philadelphia, PA 19141-3018 2020-07-10
1306463518 Atif Iftikhar Nehvi Internal Medicine 5501 Old York Rd, Philadelphia, PA 19141-3018 2020-07-03
1821615345 Paulina Henriquez Rojas Psychiatry & Neurology 5501 Old York Rd, Philadelphia, PA 19141-3018 2020-06-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598375925 Meredith Jeanne Behr Physician Assistant 5401 N Broad St, Philadelphia, PA 19141 2020-07-31
1811552896 Kristine Nissley Registered Nurse Einstein Urology Associates, 1200 West Tabor Road, 3rd Floor, Philadelphia, PA 19141 2019-05-06
1427525054 Danielle Dicicco Havelin Social Worker 1314 Windrim Ave, Philadelphia, PA 19141 2018-11-01
1568956043 Reid Thomas Alley Psychiatry & Neurology Albert Einstein Medical Center 5501 Old York Road, Philadelphia, PA 19141 2018-06-19
1912409533 Lauren Joy Barton Physician Assistant 5401 N Broad St Ste 363, Philadelphia, PA 19141 2018-02-28
1952819633 Einstein Practice Plan, Inc. Internal Medicine 5501 Old York Rd Fl Moss3, Philadelphia, PA 19141 2018-01-17
1043739642 Lauren Lynn Pleis Nurse Practitioner 1200 Tabor Road, Philadelphia, PA 19141 2017-09-14
1225558224 Ryan A. Hoffman Student in an Organized Health Care Education/Training Program Albert Einstein Medical Center, 5501 Old York Road, Philadelphia, PA 19141 2017-06-21
1972036515 Hussein Safa Family Medicine 1300 W Tabor Rd Bldg 1, Philadelphia, PA 19141 2017-04-11
1366895500 Ejaz Mahmood Student in an Organized Health Care Education/Training Program 5501, Old York Road, Albert Einstein Medical Centre, Philadelphia, PA 19141 2016-07-22
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Taxonomy Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780198754 William Sigmund Internal Medicine 608 Spruce St, Philadelphia, PA 19106-4114 2017-11-28
1982128690 Mercy Management of Sepa Internal Medicine 501 S 54th St Ste 186, Philadelphia, PA 19143-1900 2017-08-03
1346651130 Chukwunweike Nwosu Internal Medicine 219 North Broad Street, Arnold T Berman Building, Philadelphia, PA 19107-3720 2014-05-14
1053736611 Mary Osbakken Internal Medicine 29 W Walnut Ln, Philadelphia, PA 19144-2609 2014-02-19
1275969131 Vohra Post Acute Care Physicians of The Northeast Pa Internal Medicine 8400 Bustleton Ave Ste 9, Philadelphia, PA 19152-1918 2013-09-23
1194169730 Edward Sawyer Cooper Internal Medicine 6710 Lincoln Drive, Philadelphia, PA 19119 2013-04-25
1720322969 Robert Alan Keisman Internal Medicine 300 Spring Garden St, Philadelphia, PA 19123-2932 2012-11-10
1497058390 Urban Health Initiatives, Inc. Internal Medicine 1408 S. Broad Street, Philadelphia, PA 19146-4808 2010-12-15
1104133354 Rajendra N Seth Md Associates Internal Medicine 5901 Summerdale Ave, Philadelphia, PA 19149-3626 2010-09-09
1194040436 Paul Nicolas Fiorilli Internal Medicine 3400 Civic Center Blvd Fl 11, Philadelphia, PA 19104-5159 2010-03-30
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Competitor

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City PHILADELPHIA
Zip Code 19141

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Dataset Information

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.

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