Active NPI
Alexa S. Lessow, MD PC
- Specialist
- New York, NY
National Provider Identifier
1033348198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 219325
- Legal business name
- ALEXA S. LESSOW, MD PC
- Practice address
- 1049 5TH Ave
Suite #1
New York, NY 10028-0115 - Phone
- (212) 861-1961
- NPI assigned
- Jul 10, 2009
- Last updated
- Aug 12, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Matt Dallmann
- Title
- Billing Manager
- Phone
- (212) 206-6465
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 219325 | NY | Primary |
Addresses
Primary practice location
1049 5TH Ave
Suite #1
New York, NY 10028-0115
Mailing address
1049 5TH Ave
Suite #1
New York, NY 10028-0115
Phone (212) 861-1961
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
132 E 76th St
New York, NY 10021
Phone (212) 744-4413
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247184000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1250035200000",
"number": "1033348198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1049 5TH AVE",
"address_2": "SUITE #1",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100280115",
"telephone_number": "212-861-1961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1049 5TH AVE",
"address_2": "SUITE #1",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100280115",
"telephone_number": "212-861-1961"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALEXA S. LESSOW, MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2009-07-10",
"last_updated": "2009-08-12",
"status": "A",
"authorized_official_last_name": "DALLMANN",
"authorized_official_first_name": "MATT",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "212-206-6465",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "NY",
"license": "219325",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.