Individual provider Active NPI

Nicholas Joseph Leiser, PA-C

  • Physician Assistant
  • Philadelphia, PA
National Provider Identifier
1033426556
Registry record updated Sep 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA054531 Issued in PA
Practice address
8835 Germantown Ave
Philadelphia, PA 19118-2718
Phone
(215) 248-8200
NPI assigned
Sep 3, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA054531 PA Primary

Addresses

Primary practice location

8835 Germantown Ave
Philadelphia, PA 19118-2718

Mailing address

1414 Stirling CT
Phoenixville, PA 19460-4813
Phone (610) 933-5133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110121000645 PA Practitioner - Physician Assistant 3971782020 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2901 Jolly Rd
Plymouth Meeting, PA 19462-2324

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA054531PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Physician Services of Maryland, P.C. Physician Assistant CurrentSince Feb 1, 2013 Accepting new patients
Atlantic Physician Services of Maryland, PC Physician Assistant CurrentSince Feb 1, 2013 Accepting new patients
Chestnut Hill Clinic Company, LLC CurrentSince Feb 1, 2014 Accepting new patients
Chestnut Hill Clinic Company, LLC CurrentSince Feb 1, 2014 Accepting new patients
Tri-County Hospitalists, LLC CurrentSince Nov 15, 2017 Accepting new patients
Aldie Foundation CurrentSince Mar 29, 2023 Accepting new patients
Tri-County Emergency Physicians LLC CurrentSince Oct 1, 2010 Accepting new patients
Suburban Geriatrics, Inc. CurrentSince Sep 10, 2024 Accepting new patients
Premier Immediate Medical Care, LLC Past Accepting new patients

Locations

701 N Clayton St
Wilmington, DE 19805
Phone (302) 421-4100

501 Bath Rd
Bristol, PA 19007
Phone (215) 785-9200

8835 Germantown Ave
Philadelphia, PA 19118
Phone (215) 248-8227

507 Kimberton Rd
Phoenixville, PA 19460
Phone (610) 243-9117

2901 Jolly Rd
Plymouth Mtng, PA 19462
Phone (610) 272-3222

845 Germantown Pike
Plymouth Mtng, PA 19462
Phone (610) 279-7300

1600 E High St
Pottstown, PA 19464
Phone (610) 327-7485

2500 Bernville Rd
Reading, PA 19605
Phone (610) 378-2300

8200 Flourtown Ave
Ste 2
Wyndmoor, PA 19038
Phone (215) 836-5100

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 9

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

NPI Registry JSON

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

{
    "created_epoch": "1283472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283472000000",
    "number": "1033426556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 STIRLING CT",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194604813",
            "telephone_number": "610-933-5133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8835 GERMANTOWN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191182718",
            "telephone_number": "215-248-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEISER",
        "first_name": "NICHOLAS",
        "middle_name": "JOSEPH",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-03",
        "last_updated": "2010-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA054531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.