Individual provider Active NPI

Meryl Leshansky, P.A

  • Physician Assistant
  • Morganville, NJ
National Provider Identifier
1073989265
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA059526 Issued in PA
Practice address
210 Knightsbridge LN
Morganville, NJ 07751-5211
Phone
(732) 824-3356
NPI assigned
Aug 11, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 018920 NY
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X MA059526 PA Primary

Addresses

Primary practice location

210 Knightsbridge LN
Morganville, NJ 07751-5211

Mailing address

210 Knightsbridge LN
Morganville, NJ 07751-5211
Phone (732) 824-3356

Other names 1

  • Meryl Williamsky Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20160311000117 NY Practitioner - Physician Assistant 9436455847 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
City Medical of Upper East Side PLLCGroup PAC ID 0648465039, 658 clinicians

Practice addresses (Care Compare)

1919 Hempstead Tpke
East Meadow, NY 11554-1710
Phone (516) 227-2273

1989 Merrick Rd
Merrick, NY 11566-4643
Phone (516) 584-4448

2025 Broadway
New York, NY 10023-5016
Phone (212) 390-8812

235 Glen Cove Rd
Carle Place, NY 11514-1221
Phone (516) 877-2273

2459 Merrick Rd
Bellmore, NY 11710-5703
Phone (516) 826-2273

292 Herricks Rd
Mineola, NY 11501-1119
Phone (516) 746-2273

336 E 86TH St
New York, NY 10028-4615
Phone (212) 772-3627

37 W 23Rd St
New York, NY 10010-5389
Phone (646) 596-9267

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
018920NYMDPsychologist
MA059526PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
City Medical of Upper East Side, PLLC CurrentSince Mar 4, 2024 Accepting new patients
Fpa Hospital Based Multi-Specialty CurrentSince Dec 26, 2015 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Mar 4, 2024 Accepting new patients
On Demand Urgent Care Group PC Past Accepting new patients

Locations

3111 Steinway St
Astoria, NY 11103
Phone (718) 475-2345

336 E 86th St
New York, NY 10028
Phone (212) 772-3627

1176 5th Ave
New York, NY 10029
Phone (212) 241-6237

1000 10th Ave
New York, NY 10019
Phone (212) 523-2369

Organizations & group practices 6

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": "1439251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1073989265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 KNIGHTSBRIDGE LN",
            "city": "MORGANVILLE",
            "state": "NJ",
            "postal_code": "077515211",
            "telephone_number": "732-824-3356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 KNIGHTSBRIDGE LN",
            "city": "MORGANVILLE",
            "state": "NJ",
            "postal_code": "077515211",
            "telephone_number": "732-824-3356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESHANSKY",
        "first_name": "MERYL",
        "credential": "P.A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-11",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "018920",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA059526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MERYL",
            "last_name": "WILLIAMSKY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Morganville, NJ

Sources for this page

Verify at the official NPI Registry.