Michele H Leder MD Facp PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MICHELE H LEDER MD FACP PC

Practice address

169 N Middletown Rd
Pearl River, NY 10965-2057

Phone

(845) 735-3883

Fax

(845) 735-5554

NPI assigned

Dec 11, 2019

Organization subpart

No

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

Authorized official

Name

Michele H. Leder, MDNPI 1992771877

Title

Physician/Owner

Phone

(845) 304-5059

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michele Helene Leder, MD

  • Internal Medicine Physician
  • Pearl River, NY
  • NPI 1992771877
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1576022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576022400000",
    "number": "1255979100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 N MIDDLETOWN RD",
            "city": "PEARL RIVER",
            "state": "NY",
            "postal_code": "109652057",
            "telephone_number": "845-735-3883",
            "fax_number": "845-735-5554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 N MIDDLETOWN RD",
            "city": "PEARL RIVER",
            "state": "NY",
            "postal_code": "109652057",
            "telephone_number": "845-735-3883",
            "fax_number": "845-735-5554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELE H LEDER MD FACP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-11",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A",
        "authorized_official_last_name": "LEDER",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "845-304-5059",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Joan McSharry, MSED
• Kaitlyn McVeigh, OTR/L
• Kassandra Mendoza Carcamo
• Kerri Merritt
• Michael a.Fiorillo, MD, PC.
• Barbara Ellen Mittler, D.P.M.
• Monmarked, LLC
• Colleen Moore
• Erica Morgo
• Carol Marguerite Morrissey, TSHH-SLT

• Internal Medicine Physician in Pearl River, NY
• Providers in Pearl River, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2019; 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.