Nata Leybengrub, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

022035-1 Issued in NY

Practice address

2276 Merrick Ave
Merrick, NY 11566-4342

Phone

(516) 712-6565

Fax

(516) 217-4049

NPI assigned

Jun 6, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Advantagecare Physicians PC

  • General Practice Physician
  • New York, NY
  • NPI 1336578772
  Medicare reassignment NPD

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

{
    "created_epoch": "1528243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1700378593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2276 MERRICK AVE",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115664342",
            "telephone_number": "516-712-6565",
            "fax_number": "516-217-4049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2276 MERRICK AVE",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115664342",
            "telephone_number": "516-712-6565",
            "fax_number": "516-217-4049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEYBENGRUB",
        "first_name": "NATA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-06",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "022035-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Levine, M.S.
• Kara Jordyn Levy
• Steven M. Levy, D.M.D.
• Amy Lewin, L.C.S.W.
• Ayanna Elaine Lewis, M.D.
• Jordyn Lieberman, PA-C
• Laura Stacy Lieberman, RD
• Limitless Therapeutic Massage, LLC
• Limitless Therapeutic Massage, LLC
• Steven Lin, DDS, MBS

• Physician Assistant in Merrick, NY
• Providers in Merrick, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.