Individual provider Active NPI

Tammy Lesniak, P.A.

  • Physician Assistant
  • Rochester, NY
National Provider Identifier
1558337378
Registry record updated Jan 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
002347-1 Issued in NY
Practice address
2337 Ridgeway Ave
Rochester, NY 14626-4111
Phone
(585) 225-6680
Fax
(585) 225-3472
NPI assigned
Feb 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 002347-1 NY Primary

Addresses

Primary practice location

2337 Ridgeway Ave
Rochester, NY 14626-4111

Mailing address

2337 Ridgeway Ave
Rochester, NY 14626-4111
Phone (585) 225-6680

Other practice location 1

120 Erie Canal Dr
Rochester, NY 14626-4607
Phone (585) 225-6680

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2347NYMDSpecialist
002347-1NYMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548288000000",
    "number": "1558337378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2337 RIDGEWAY AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146264111",
            "telephone_number": "585-225-6680",
            "fax_number": "585-225-3472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2337 RIDGEWAY AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146264111",
            "telephone_number": "585-225-6680",
            "fax_number": "585-225-3472"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Erie Canal Dr",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146264607",
            "country_code": "US",
            "telephone_number": "585-225-6680",
            "fax_number": "585-225-3472",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LESNIAK",
        "first_name": "TAMMY",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-23",
        "last_updated": "2019-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "002347-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2019; 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.