Jeffrey C. Leathersich PA, PLLC

Primary specialty

Dietary ManagerTaxonomy code 132700000X

Legal business name

JEFFREY C. LEATHERSICH PA, PLLC

Doing business as

New Genesis Center for Weight Loss and Cosmetic Medicine

Practice address

3300 Monroe Ave Ste 345
Rochester, NY 14618-4625

Phone

(585) 381-9966

Fax

(585) 381-7594

NPI assigned

Mar 5, 2013

Last updated

Mar 5, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeffrey Christian Leathersich, PHYSICIAN ASSISTANT

Title

Managing Member

Phone

(585) 748-1820

Specialties & licenses 1

Addresses

Other names 1

• New Genesis Center for Weight Loss and Cosmetic Medicine Doing business as

Locations

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

{
    "created_epoch": "1362441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362441600000",
    "number": "1528309317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 MONROE AVE STE 345",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146184625",
            "telephone_number": "585-381-9966",
            "fax_number": "585-381-7594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 MONROE AVE STE 345",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146184625",
            "telephone_number": "585-381-9966",
            "fax_number": "585-381-7594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY C. LEATHERSICH PA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-05",
        "last_updated": "2013-03-05",
        "status": "A",
        "authorized_official_last_name": "LEATHERSICH",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "CHRISTIAN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "585-748-1820",
        "authorized_official_credential": "PHYSICIAN ASSISTANT"
    },
    "taxonomies": [
        {
            "code": "132700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietary Manager",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Genesis Center for Weight Loss and Cosmetic Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth M. Jefferson, P.A.
• Maureen Amie Jefferson, LICENSED PRACTICAL N
• Shawnnel Jewel Jefferson, LPN
• Taimka Jefferson, LPN
• Jeffrey a Liberman DO PC
• Jeffrey I Goldberg DDS PLLC
• Renee Jeffrey, LICENSED PRACTICAL N
• Patricia Jeffries
• Thelma Marie Jeffries, LPN
• Bohdan Markian Jejna, M.A. CCC-SLP

• Dietary Manager in Rochester, NY
• Providers in Rochester, NY by specialty
• Dietary Manager in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.