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DR. LEONARD PATRICK CLOSE III DDS
NPI 1407740731
Student in an Organized Health Care Education/Training Program in Port Jefferson, NY

Active since June 03, 2025PECOS Enrolled
200 BELLE TERRE RD, PORT JEFFERSON, NY 11777(631) 474-6000 Get Directions Write a Review

NPPES record last updated: June 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Leonard Patrick Close Iii Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LEONARD PATRICK CLOSE III DDS (NPI 1407740731) is an individual student in an organized health care education/training program in Port Jefferson, New York and active in the NPI registry since June 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407740731
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. LEONARD PATRICK CLOSE IIICredential: DDS
Location Address200 BELLE TERRE RDPort Jefferson, NY 11777-1968
Mailing Address200 Belle Terre RdPort Jefferson, NY 11777-1968 · (631) 474-6000
Phone(631) 474-6000
Sole ProprietorNo
Enumeration DateJune 3, 2025
NPPES CertifiedJune 3, 2025
✔ NPI 1407740731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
200 BELLE TERRE RD, Port Jefferson, NY 11777
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Leonard Patrick Close Iii Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANTHONY BRIAN KWAN MD
Emergency Medicine
200 BELLE TERRE RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 474-6791
MR. TERENCE JOSEPH SCHULZ MA CCC-A
Audiologist-Hearing Aid Fitter
200 BELLE TERRE RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 474-6326
MS. LAURA LYNN BECK PT
Physical Therapist
200 BELLE TERRE RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 476-5606
RONNI MARANGONI
Occupational Therapist (Pediatrics)
200 BELLE TERRE RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 474-6267
IGOR LIZOGUBENKO P.A.
Physician Assistant
200 BELLE TERRE RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 474-6000
SANA AMBER HAMEEDI D.O
Pediatrics
200 BELLE TERRE RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 474-6000
MR. MATTHEW DELPH PA
Physician Assistant
200 BELLE TERRE RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 474-6000
DR. ROBERT KENNEDY AWADALLAH PHARM.D, ANP, MBA
Pharmacist
200 BELLE TERRE RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 474-6000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Leonard Close's NPI number?

The NPI number for Leonard Close is 1407740731. It was assigned to this individual provider in the NPPES registry on June 3, 2025.

Where is Leonard Close located?

Leonard Close practices at 200 Belle Terre Rd, Port Jefferson, NY 11777. The listed phone number is (631) 474-6000.

What is Leonard Close's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Leonard Close enrolled in Medicare?

Yes. Leonard Close is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Leonard Close was last updated on June 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.