Active NPI
Lyudmila Shelestovsky
- Physician Assistant
- Vestal, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 025953
- Practice address
- 4433 Vestal Pkwy E
Vestal, NY 13850-3556 - Phone
- (607) 771-2220
- Fax
- (607) 251-2635
- NPI assigned
- Mar 30, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 025953 | NY | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
4433 Vestal Pkwy E
Vestal, NY 13850-3556
Mailing address
33 Lewis Rd Ste 2
Binghamton, NY 13905-1040
Phone (607) 770-0025
Other names 1
- Lyudmila Levitskaya
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
30 Harrison St
Suite 101
Johnson City, NY 13790-2161
Phone (607) 763-8181
33 -57 Harrison St
Johnson City, NY 13790-2107
Phone (607) 763-6622
Hospital & facility affiliations
- United Health Services Hospitals, Inc
- Chenango Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.59 of 100
- Quality
- 78.3
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.17
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 025953 | NY | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Health Services Hospitals, Inc. | Current | Accepting new patients | |
| United Medical Associates PC | Current | Accepting new patients |
Locations
33 Lewis Rd
Ste 2
Binghamton, NY 13905
33 Lewis Rd
Fl 2
Binghamton, NY 13905
Phone (607) 729-8156
33-57 Harrison St
Johnson City, NY 13790
Phone (607) 763-6412
4433 Vestal Pkwy E
Vestal, NY 13850
Phone (607) 762-2176
Organizations & group practices 2
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.
-
- Clinic/Center
- Binghamton, NY
- NPI 1013972801
-
- Multi-Specialty Clinic/Center
- Johnson City, NY
- NPI 1962463851
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Norwich, NY
- NPI 1770593956
-
- General Acute Care Hospital
- Binghamton, NY
- NPI 1518998699
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766102400000",
"number": "1265060859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 LEWIS RD STE 2",
"city": "BINGHAMTON",
"state": "NY",
"postal_code": "139051040",
"telephone_number": "607-770-0025",
"fax_number": "607-729-3982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4433 VESTAL PKWY E",
"city": "VESTAL",
"state": "NY",
"postal_code": "138503556",
"telephone_number": "607-771-2220",
"fax_number": "607-251-2635"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHELESTOVSKY",
"first_name": "LYUDMILA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-30",
"last_updated": "2025-12-19",
"certification_date": "2025-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "025953",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LYUDMILA",
"last_name": "LEVITSKAYA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Vestal, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2025; 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.
- 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.