Melanie Alissa Leberman, RPAC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

009450 Issued in NY

Practice address

5879 Snyder Dr
Lockport, NY 14094-9497

Phone

(716) 433-8751

Fax

(716) 433-8792

NPI assigned

Apr 18, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: melanielebermanpa@rainbowpediatrics.medentdirect.com

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

• General Physician, PC

  • General Practice Physician
  • Dunkirk, NY
  • NPI 1093959322
  Medicare reassignment
• Trinity Medical Wny PC

  • Internal Medicine Physician
  • Buffalo, NY
  • NPI 1295043149
  Medicare reassignment
• Trinity Medical Wny PC

  • Orthopaedic Surgery Physician
  • Williamsville, NY
  • NPI 1144878893

  Medical

  NPD
• Trinity Medical Wny PC

  • Vascular Surgery Physician
  • Buffalo, NY
  • NPI 1205468055
  NPD
• Lewiston Village Pediatrics

  • Pediatrics Physician
  • Lewiston, NY
  • NPI 1629177134
  NPD (past)

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369353600000",
    "number": "1174588610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5879 SNYDER DR",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140949497",
            "telephone_number": "716-433-8751",
            "fax_number": "716-433-8792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5879 SNYDER DR",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140949497",
            "telephone_number": "716-433-8751",
            "fax_number": "716-433-8792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBERMAN",
        "first_name": "MELANIE",
        "middle_name": "ALISSA",
        "name_prefix": "Mrs.",
        "credential": "RPAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-18",
        "last_updated": "2013-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "009450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1174588610",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexa Lasher-Warren
• Jordan Kail Lasky, PA
• Jennifer Laspada
• Natalie Marie Latuga, PHARM.D.
• Kayla Leathers
• Wayne Allen Leblanc, PA-C
• B. Eun Lee, M.D
• Sewhan Lee, R.PH
• Kaitlin Leidolph, MS, OTR/L
• Rachel Lynn Leonard

• Medical Physician Assistant in Lockport, NY
• Providers in Lockport, NY by specialty
• Medical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.