NPIMap

Organization Active NPI

Lederman and Lederman LLP

  • Pediatric Ophthalmology and Strabismus Specialist Physician
  • Purchase, NY
National Provider Identifier
1437100682
Registry record updated Apr 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Ophthalmology and Strabismus Specialist PhysicianTaxonomy code 207WX0110X
Legal business name
LEDERMAN AND LEDERMAN LLP
Practice address
3020 Westchester Avenue
Suite 402
Purchase, NY 10577-2561
Phone
(914) 417-6441
Fax
(914) 948-2020
NPI assigned
May 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2020

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

Authorized official

Name
Elisa Ulto
Title
Office Manager
Phone
(914) 417-6441

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Ophthalmology and Strabismus Specialist PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207WX0110X Primary

Addresses

Primary practice location

3020 Westchester Avenue
Suite 402
Purchase, NY 10577-2561

Mailing address

3020 Westchester Avenue
Suite 402
Purchase, NY 10577-2561
Phone (914) 417-6441

Other identifiers 1

IdentifierTypeStateIssuer
01911682MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070209000094 NY Part B Supplier - Clinic/Group Practice 1456241769 Receives reassigned benefits from 2 practitioners
Practice locations: Fishkill, NY; Purchase, NY

National Provider Directory

National Provider Directory

Locations

969 Main St
Ste H
Fishkill, NY 12524
Phone (845) 896-6700

3020 Westchester Ave
Ste 201
Purchase, NY 10577
Phone (914) 417-6441

3020 Westchester Ave
Ste 402
Purchase, NY 10577
Phone (914) 417-6441

Practitioners & affiliated clinicians

Practitioners 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587340800000",
    "number": "1437100682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 WESTCHESTER AVENUE",
            "address_2": "SUITE 402",
            "city": "PURCHASE",
            "state": "NY",
            "postal_code": "105772561",
            "telephone_number": "914-417-6441",
            "fax_number": "914-948-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 WESTCHESTER AVENUE",
            "address_2": "SUITE 402",
            "city": "PURCHASE",
            "state": "NY",
            "postal_code": "105772561",
            "telephone_number": "914-417-6441",
            "fax_number": "914-948-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEDERMAN AND LEDERMAN LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2020-04-20",
        "certification_date": "2020-04-20",
        "status": "A",
        "authorized_official_last_name": "ULTO",
        "authorized_official_first_name": "ELISA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "914-417-6441"
    },
    "taxonomies": [
        {
            "code": "207WX0110X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01911682",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Purchase, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.