Individual provider Active NPI

Lital Fleyshmakher, PA-C

  • Physician Assistant
  • Bronx, NY
National Provider Identifier
1003332628
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
021140 Issued in NY
Practice address
977 E 149TH St
Bronx, NY 10455-5021
Phone
(347) 439-3824
NPI assigned
Aug 15, 2017
Last updated
Dec 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 021140 NY Primary
Occupational Medicine Physician 2083X0100X 021140 NY
Physician Assistant 363A00000X 25MP00783600 NJ
Physician Assistant 363A00000X

Addresses

Primary practice location

977 E 149TH St
Bronx, NY 10455-5021

Mailing address

40 Brookside Ave
Livingston, NJ 07039-4030
Phone (347) 439-3824

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
25MP00783600NJMDPhysician Assistant
021140NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Maurice Betesh DPM PLLC CurrentSince Sep 27, 2020 Accepting new patients
Gramercy Urology Solutions, PC PastSince Sep 27, 2020 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1502755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1003332628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 BROOKSIDE AVE",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070394030",
            "telephone_number": "347-439-3824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "977 E 149TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104555021",
            "telephone_number": "347-439-3824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEYSHMAKHER",
        "first_name": "LITAL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-15",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "021140",
            "primary": true
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "NY",
            "license": "021140",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00783600",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.