Individual provider Active NPI

Lisa Leszcynski

  • Chiropractor
  • Telford, PA
National Provider Identifier
1205617990
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00792800 Issued in NJ
Practice address
4019 Bethlehem Pike
Telford, PA 18969-1126
Phone
(215) 723-7900
NPI assigned
Oct 10, 2023
Last updated
Oct 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00792800 NJ Primary

Addresses

Primary practice location

4019 Bethlehem Pike
Telford, PA 18969-1126

Mailing address

4019 Bethlehem Pike
Telford, PA 18969-1126

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240223001619 PA Practitioner - Chiropractic 0648614131 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Denise Primavera D.C., P.C.Group PAC ID 4789695586, 3 clinicians

Practice addresses (Care Compare)

4019 Bethlehem Pike
Telford, PA 18969-1126
Phone (215) 723-7900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38MC00792800NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Denise Primavera D.C., P.C. Chiropractor CurrentSince Feb 20, 2024 Accepting new patients

Locations

4019 Bethlehem Pike
Telford, PA 18969
Phone (215) 480-0214

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.

NPI Registry JSON

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

{
    "created_epoch": "1696896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1205617990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4019 BETHLEHEM PIKE",
            "city": "TELFORD",
            "state": "PA",
            "postal_code": "189691126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4019 BETHLEHEM PIKE",
            "city": "TELFORD",
            "state": "PA",
            "postal_code": "189691126",
            "telephone_number": "215-723-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESZCYNSKI",
        "first_name": "LISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-10",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00792800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Telford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.