Active NPI
Stuart D Lestch, M.D.
- Neurology Physician
- West Nyack, NY
National Provider Identifier
1184709164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 99001
- Practice address
- 2 Crosfield Ave
Suite 202
West Nyack, NY 10994-2226 - Phone
- (845) 353-4344
- Fax
- (845) 348-1873
- NPI assigned
- Oct 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 99001 | NY | Primary |
Addresses
Primary practice location
2 Crosfield Ave
Suite 202
West Nyack, NY 10994-2226
Mailing address
2 Crosfield Ave
Suite 202
West Nyack, NY 10994-2226
Phone (845) 353-4344
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00168956-03 | Medicaid | NY | |
| 393723 | Other | NY | MVP |
| 1000017385 | Other | NY | AFFINITY HEALTH PLAN |
| 191607 | Other | NY | WELLCARE |
| R5150 | Other | NY | OXFORD |
| 0933058 | Other | NY | CIGNA |
| 000000008652 | Other | NY | GHI HMO |
| 099001 | Other | NY | HIP HEALTH PLAN |
| 99001 | Other | NM | LICENSE |
| 122305 | Other | NY | USHC |
| 001694171020 | Other | NY | TRAVELERS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 99001 | NY | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centerock Podiatry Associates, PC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Foot & Ankle Surgery Podiatrist
- West Nyack, NY
- NPI 1124053640
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184709164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 CROSFIELD AVE",
"address_2": "SUITE 202",
"city": "WEST NYACK",
"state": "NY",
"postal_code": "109942226",
"telephone_number": "845-353-4344",
"fax_number": "845-348-1873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 CROSFIELD AVE",
"address_2": "SUITE 202",
"city": "WEST NYACK",
"state": "NY",
"postal_code": "109942226",
"telephone_number": "845-353-4344",
"fax_number": "845-348-1873"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LESTCH",
"first_name": "STUART",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NY",
"license": "99001",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00168956-03",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "393723",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AFFINITY HEALTH PLAN",
"identifier": "1000017385",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "191607",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "R5150",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "0933058",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI HMO",
"identifier": "000000008652",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP HEALTH PLAN",
"identifier": "099001",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "99001",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "USHC",
"identifier": "122305",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRAVELERS",
"identifier": "001694171020",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Nyack, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.