OrganizationActive
Legacy Medical PLLC
NPI 1457609653 · Neurology Physician · Jackson Hts, NY
Legacy Medical PLLC is a Neurology Physician organization in Jackson Hts, NY (NPI 1457609653).
Provider details
- NPI number
- 1457609653
- Entity type
- Organization
- Primary specialty
- Neurology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Madhu Boppana, Owner(646) 270-1050
- License
- 199052-1 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3741 77th St
Jackson Hts, NY 11372-6629
Phone: (718) 406-9588
Street-level locationGet directions
Mailing address
245 8th Ave # 101
New York, NY 10011-1607
Registry dates
- Enumerated
- 2012-08-17
- Last updated
- 2020-02-25
- Certified
- 2020-02-25
Frequently asked questions
- What is Legacy Medical PLLC's NPI number?
- Legacy Medical PLLC's National Provider Identifier (NPI) is 1457609653, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Legacy Medical PLLC?
- Legacy Medical PLLC is classified in the NPPES registry as Neurology Physician (Allopathic & Osteopathic Physicians).
- Where is Legacy Medical PLLC located?
- Legacy Medical PLLC's practice location on file with NPPES is 3741 77th St, Jackson Hts, NY 11372-6629.
- What is Legacy Medical PLLC's phone number?
- The practice phone number listed in the NPPES registry for Legacy Medical PLLC is (718) 406-9588.
- Who is the authorized official for Legacy Medical PLLC?
- The authorized official listed on Legacy Medical PLLC's NPPES record is Madhu Boppana, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Legacy Medical PLLC's NPI active?
- Yes — Legacy Medical PLLC's NPI (1457609653) is active in the NPPES registry as of the last update on 2020-02-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.