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MRS. KIM MARIE LEIDNER MSRD, CDE
NPI 1790853745
Dietitian, Registered in West Babylon, NY

Active since November 30, 2006Accepts Medicare Assignment
986 SUNRISE HWY, WEST BABYLON, NY 11704(631) 587-6060(631) 587-1364 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Kim Marie Leidner Msrd, Cde NPPES

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

MRS. KIM MARIE LEIDNER MSRD, CDE (NPI 1790853745) is an individual dietitian, registered in West Babylon, New York, licensed in Illinois (806597) and active in the NPI registry since November 2006. She is a graduate of Other (1991).

NPPES Registry Identity

NPI1790853745
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameMRS. KIM MARIE LEIDNERCredential: MSRD, CDE
Location Address986 SUNRISE HWYWest Babylon, NY 11704-6111
Mailing Address34 Stratford AveGreenlawn, NY 11740-2519 · (631) 368-3706 · Fax (631) 368-1027
Phone(631) 587-6060
Fax(631) 587-1364
Sole ProprietorYes
Medical School CMSOtherGraduated 1991
Enumeration DateNovember 30, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1790853745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in IL · 806597
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
986 SUNRISE HWY, West Babylon, NY 11704
Open in Google Maps ↗

Other Identifiers 7

Other8099804NY · Ghi
Other5457751NY · Cigna
Other2595970NY · Aetna
Other3C7122NY · Healthnet
OtherP2720854NY · Oxford
OtherAZ00894NY · Mdny
OtherIG0951NY · Blue Cross

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Kim Marie Leidner Msrd, Cde is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4082765045
PECOS Enrollment IDI20090702000279

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11704 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $67.40 – $203.53
Typical copayment $0.00 (range $16.85 – $50.88)
Most-billed visit code NA
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

ROBERT L MICHAELS MD
Orthopaedic Surgery
986 SUNRISE HWY
WEST BABYLON, NY 11704
Suffolk County (631) 587-6060
SALLY JANE B. CIRON MD
Family Medicine
986 SUNRISE HWY
WEST BABYLON, NY 11704
Suffolk County (631) 587-6060
LONG ISLAND MEDICAL CARE SERVICES PC
Internal Medicine
986 SUNRISE HWY
WEST BABYLON, NY 11704
Suffolk County (631) 587-6060
MRS. LAURA A RIZZI PA
Physician Assistant
986 SUNRISE HWY
WEST BABYLON, NY 11704
Suffolk County (631) 587-6060

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 Kim Leidner's NPI number?

The NPI number for Kim Leidner is 1790853745. It was assigned to this individual provider in the NPPES registry on November 30, 2006.

Where is Kim Leidner located?

Kim Leidner practices at 986 Sunrise Hwy, West Babylon, NY 11704. The listed phone number is (631) 587-6060.

What is Kim Leidner's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Kim Leidner enrolled in Medicare?

Yes. Kim Leidner is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kim Leidner was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.