Individual provider Active NPI

Ella Leers, MD

  • Family Medicine Physician
  • New York, NY
National Provider Identifier
1609958305
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
220125 Issued in NY
Practice address
550 Washington St
New York, NY 10014-3627
Phone
(888) 926-9385
Fax
(212) 273-4496
NPI assigned
Oct 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) Physician 207QA0401X 220125 NY
Family Medicine Physician 207Q00000X 220125 NY Primary

Addresses

Primary practice location

550 Washington St
New York, NY 10014-3627

Mailing address

550 Washington St
New York, NY 10014-3627
Phone (888) 926-9385

Other practice location 1

116 E 92nd St
New York, NY 10128-1620
Phone (212) 289-7166

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
I20110322000509 NY Practitioner - Family Practice 6305029869 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
220125NYMDAddiction Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Sinai School of Medicine CurrentSince Jul 1, 2020 Accepting new patients
Carnegie Hill of New York, Inc CurrentSince Jul 3, 2023 Accepting new patients
Premise Health of New York Medical PC CurrentSince Jun 2, 2024 Accepting new patients
Mount Sinai School of Medicine Family Medicine CurrentSince Jul 1, 2020 Accepting new patients

Locations

1155 Northern Blvd
Manhasset, NY 11030
Phone (516) 407-4000

116 E 92nd St
New York, NY 10128
Phone (212) 289-7166

1790 Broadway
Ste 1802
New York, NY 10019
Phone (212) 530-0621

550 Washington St
New York, NY 10014
Phone (646) 516-2529

5 Columbus Cir
Ste 1802
New York, NY 10019
Phone (212) 530-0624

Organizations & group practices 4

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": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1609958305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 WASHINGTON ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100143627",
            "telephone_number": "888-926-9385",
            "fax_number": "212-273-4496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 WASHINGTON ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100143627",
            "telephone_number": "888-926-9385",
            "fax_number": "212-273-4496"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "116 E 92nd St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "101281620",
            "country_code": "US",
            "telephone_number": "212-289-7166",
            "fax_number": "212-831-6433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEERS",
        "first_name": "ELLA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "NY",
            "license": "220125",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "220125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.