Individual provider Active NPI

Georgina Leylegian, M.D.

  • Pediatric Adolescent Medicine Physician
  • Mount Kisco, NY
National Provider Identifier
1275678971
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
179756 Issued in NY
Practice address
666 Lexington Ave
Suite 206
Mount Kisco, NY 10549-3632
Phone
(914) 666-4742
Fax
(914) 666-4850
NPI assigned
Feb 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X 179756 NY Primary

Addresses

Primary practice location

666 Lexington Ave
Suite 206
Mount Kisco, NY 10549-3632

Mailing address

666 Lexington Ave
Suite 206
Mount Kisco, NY 10549-3632
Phone (914) 666-4742

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170406003002 NY Practitioner - Pediatric Medicine 8022117142 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
179756NYMDPediatric Adolescent Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Westchester Health Medical, P.C. CurrentSince Mar 1, 2017 Accepting new patients
Westchester Health Medical, P.C. CurrentSince Mar 1, 2017 Accepting new patients
Westchester Health Associates, P.L.L.C PastSince Oct 1, 2012 Accepting new patients

Locations

60 Goldens Bridge Rd
Katonah, NY 10536
Phone (914) 232-1919

666 Lexington Ave
Ste 206
Mount Kisco, NY 10549
Phone (914) 666-4742

91 Smith Ave
Mount Kisco, NY 10549
Phone (914) 241-1717

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: gleylegian67809@northwell.direct-ci.com
  • Direct secure messaging: georgina.leylegian@direct.westchesterhealth.nextgenshare.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275678971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "666 LEXINGTON AVE",
            "address_2": "SUITE 206",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105493632",
            "telephone_number": "914-666-4742",
            "fax_number": "914-666-4850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "666 LEXINGTON AVE",
            "address_2": "SUITE 206",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105493632",
            "telephone_number": "914-666-4742",
            "fax_number": "914-666-4850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEYLEGIAN",
        "first_name": "GEORGINA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NY",
            "license": "179756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Kisco, NY

Sources for this page

Verify at the official NPI Registry.