Active NPI
Leah Elizabeth Gherardi, SPECIAL EDUCATION
- Student in an Organized Health Care Education/Training Program
- Port Ewen, NY
National Provider Identifier
1023458296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 159582021
- Practice address
- 163 Salem Street
Port Ewen, NY 12466 - Phone
- (845) 853-6855
- NPI assigned
- Jul 2, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 159582021 | NY | Primary |
Addresses
Primary practice location
163 Salem Street
Port Ewen, NY 12466
Mailing address
PO Box 122
Port Ewen, NY 12466-0122
Phone (845) 853-6855
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
| License | State | Type | Specialty |
|---|---|---|---|
| 159582021 | NY | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372723200000",
"number": "1023458296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 122",
"city": "PORT EWEN",
"state": "NY",
"postal_code": "124660122",
"telephone_number": "845-853-6855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "163 SALEM STREET",
"city": "PORT EWEN",
"state": "NY",
"postal_code": "12466",
"telephone_number": "845-853-6855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHERARDI",
"first_name": "LEAH",
"middle_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "SPECIAL EDUCATION",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-07-02",
"last_updated": "2013-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NY",
"license": "159582021",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Ewen, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.