Active NPI
Valerie Lederman, PA-C
- Physician Assistant
- New York, NY
National Provider Identifier
1700111598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 009890-1
- Practice address
- 1 Madison Ave
24 East 24TH Street, Level 2B
New York, NY 10010-3603 - Phone
- (917) 912-5883
- NPI assigned
- Oct 12, 2009
- Last updated
- Oct 12, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 009890-1 | NY | Primary |
| Physician Assistant | 363A00000X | 25MP00118600 | NJ |
Addresses
Primary practice location
1 Madison Ave
24 East 24TH Street, Level 2B
New York, NY 10010-3603
Mailing address
33 Pebble Beach Dr
Livingston, NJ 07039-8208
Phone (973) 992-3018
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009890-1 | NY | MD | Physician Assistant |
Interoperability endpoints
- valerie.lederman.p27@direct.medcor.nextgenshare.com
- valerie.lederman.p32@direct.medcor.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255305600000",
"number": "1700111598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 PEBBLE BEACH DR",
"city": "LIVINGSTON",
"state": "NJ",
"postal_code": "070398208",
"telephone_number": "973-992-3018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MADISON AVE",
"address_2": "24 EAST 24TH STREET, LEVEL 2B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100103603",
"telephone_number": "917-912-5883"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEDERMAN",
"first_name": "VALERIE",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-12",
"last_updated": "2009-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "009890-1",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NJ",
"license": "25MP00118600",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.