Legacy Medical PLLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

LEGACY MEDICAL PLLC

Practice address

11380 Prosperity Farms Rd Ste 114
Palm Beach Gardens, FL 33410-3464

Phone

(917) 209-9990

NPI assigned

Jan 15, 2024

Last updated

Jan 15, 2024By 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

Dr. Yana Shtern, MDNPI 1497940852

Title

Authorized Member

Phone

(917) 209-9990

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Yana Shtern, M.D.

  • Internal Medicine Physician
  • Palm Beach Gardens, FL
  • NPI 1497940852
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1705276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705276800000",
    "number": "1609647866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11380 PROSPERITY FARMS RD STE 114",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334103464",
            "telephone_number": "917-209-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11380 PROSPERITY FARMS RD STE 114",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334103464",
            "telephone_number": "917-209-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-15",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A",
        "authorized_official_last_name": "SHTERN",
        "authorized_official_first_name": "YANA",
        "authorized_official_title_or_position": "AUTHORIZED MEMBER",
        "authorized_official_telephone_number": "917-209-9990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Leconte, D.M.D.
• Denise Renee Lederman, LCSW, LNC
• Leffler Eye Care Center Inc.
• William Glynn Leffler Jr., O.D.
• Legacy Healthcare Services Inc
• Legacy Rheumatology, LLC
• Kevin Lehman, P.T.
• Michael M Leighton, M.D.
• Bobbimarie Leininger, RBT
• Gerard J Lemongello Jr., DMD

• Nephrology Physician in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, FL by specialty
• Nephrology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.