Healthcare Provider Details

I. General information

NPI: 1881554269
Provider Name (Legal Business Name): VERITAS PODIATRY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/17/2025
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8708 JUSTICE AVE STE CX
ELMHURST NY
11373-8715
US

IV. Provider business mailing address

8708 JUSTICE AVE STE CX
ELMHURST NY
11373-8715
US

V. Phone/Fax

Practice location:
  • Phone: 718-446-4230
  • Fax: 718-457-7015
Mailing address:
  • Phone: 718-446-4230
  • Fax: 718-457-7015

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number State

VIII. Authorized Official

Name: DR. JACOB LEIGH
Title or Position: MANAGER
Credential: DPM
Phone: 718-839-3304