Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Leonard Smith

Individual provider Surgical Physician Assistant · NPI 1083160360

Leonard Smith is a Physician Assistant in Queens, New York. Qualified in 2016, 10 years ago. Practices with New York University, a 5,884-clinician group and accepts Medicare assignment.

Years since qualifying
10
In the registry since
2016

Practice location Address checks out

82-68 164th St
Queens, NY 11432
Phone: (718) 883-4640
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X

Record details

NPI number1083160360
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 28, 2016
Last updated in NPPESAugust 28, 2016
Mailing address726 Forbell Street 2nd Floor, Brooklyn, NY 11208

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice New York University — 5884 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare