Lea Michelle Zellers, MS ED, MS SPED

Primary specialty

SpecialistTaxonomy code 174400000X

License

2529567 Issued in NY

Practice address

5 Crescent St
Mastic, NY 11950-1801

Phone

(631) 922-1090

NPI assigned

Aug 28, 2017

Last updated

May 26, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Lea Michelle Fleischman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1503878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685059200000",
    "number": "1093232357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10818 QUEENS BLVD STE 4A",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 CRESCENT ST",
            "city": "MASTIC",
            "state": "NY",
            "postal_code": "119501801",
            "telephone_number": "631-922-1090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZELLERS",
        "first_name": "LEA",
        "middle_name": "MICHELLE",
        "credential": "MS ED, MS SPED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-28",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "2529567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEA",
            "last_name": "FLEISCHMAN",
            "middle_name": "MICHELLE",
            "credential": "MS ED, MS SPED",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Naomi White
• Catherine Widecki, RN
• Ayesha Williams, LON
• Marcia Elaine Williams, LPN
• Erika Zambrano, LMSW

• Specialist in Mastic, NY
• Providers in Mastic, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2023; 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.