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).
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 |
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 |
Street Address |
5501 OLD YORK RD |
City | PHILADELPHIA |
State | PA |
Zip Code | 19141-3018 |
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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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 |
Find all providers in zip 19141 |
Taxonomy Code | 207RC0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Cardiovascular Disease |
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. |
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 |
Find all providers in PHILADELPHIA |
City | PHILADELPHIA |
Zip Code | 19141 |
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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.