Individual provider Active NPI

Virginia W Leitner

  • Physician Assistant
  • Margaretville, NY
National Provider Identifier
1154375822
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
005053 Issued in NY
Practice address
42084 State Highway 28
Margaretville, NY 12455-2820
Phone
(845) 586-2631
Fax
(845) 586-2976
NPI assigned
May 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 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 66175 CA
Physician Assistant 363A00000X 005053 NY Primary

Addresses

Primary practice location

42084 State Highway 28
Margaretville, NY 12455-2820

Mailing address

222 Route 299
Highland, NY 12528-2524
Phone (845) 691-3627

Other practice location 1

345 W 42nd St
New York, NY 10036-6982
Phone (646) 518-0159

Other practice location 2

900 Main St
Brawley, CA 92227-2630
Phone (760) 344-9951 ext. 10169

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
I20050802000271 NY Practitioner - Physician Assistant 0840228755 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
66175CAMDPharmacist
005053NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Westchester Medical Center Advanced Physician Services PC CurrentSince Dec 1, 2021 Accepting new patients
Westchester Medical Center Advanced Physician Services, PC CurrentSince Dec 1, 2021 Accepting new patients
Eos Medical Group PC Past Accepting new patients

Locations

19 Bradhurst Ave
Ste 3100N
Hawthorne, NY 10532
Phone (914) 231-8373

42084 State Highway 28
Margaretville, NY 12455
Phone (845) 334-2819

6511 Spring Brook Ave
Rhinebeck, NY 12572
Phone (845) 871-3368

95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961

Interoperability endpoints

  • Direct secure messaging: virginia.leitner.p1@direct.cdsdp.nextgenshare.com
  • Direct secure messaging: vleitner@hvfp.medentdirect.com

Organizations & group practices 3

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1154375822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 ROUTE 299",
            "city": "HIGHLAND",
            "state": "NY",
            "postal_code": "125282524",
            "telephone_number": "845-691-3627",
            "fax_number": "845-691-3641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42084 STATE HIGHWAY 28",
            "city": "MARGARETVILLE",
            "state": "NY",
            "postal_code": "124552820",
            "telephone_number": "845-586-2631",
            "fax_number": "845-586-2976"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "345 W 42nd St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100366982",
            "country_code": "US",
            "telephone_number": "646-518-0159",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 Main St",
            "address_purpose": "LOCATION",
            "city": "Brawley",
            "state": "CA",
            "postal_code": "922272630",
            "country_code": "US",
            "telephone_number": "760-344-9951 x10169",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEITNER",
        "first_name": "VIRGINIA",
        "middle_name": "W",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "66175",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "005053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Margaretville, NY

Sources for this page

Verify at the official NPI Registry.