Individual provider Active NPI

Leslie Folks Brady, ANP-BC

  • Adult Health Nurse Practitioner
  • New York, NY
National Provider Identifier
1720324353
Registry record updated Sep 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F305800 Issued in NY
Practice address
17 E 102ND St FL 3
New York, NY 10029-5204
Phone
(212) 241-7968
Fax
(212) 824-2312
NPI assigned
Dec 31, 2012
Last updated
Sep 11, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Clinical Nurse Specialist 364SA2200X 209.010018 IL
Adult Health Clinical Nurse Specialist 364SA2200X F305800-1 NY
Adult Health Nurse Practitioner 363LA2200X F305800 NY Primary

Addresses

Primary practice location

17 E 102ND St FL 3
New York, NY 10029-5204

Mailing address

17 E 102ND St FL 3
New York, NY 10029-5204
Phone (212) 241-7968

Other practice location 1

275 7th Ave Fl 12
New York, NY 10001-6756
Phone (212) 604-1701

Other names 1

  • Ms. Leslie Louise Brady Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20171018002466 PA Practitioner - Nurse Practitioner 3870748551 Reassigns benefits to 1 organization
I20250303001729 NY Practitioner - Nurse Practitioner 3870748551 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209.010018ILMDAdult Health Clinical Nurse Specialist
F305800-1NYMDAdult Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai CurrentSince Mar 1, 2025 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Mar 1, 2025 Accepting new patients
Lancaster Cancer Center LTD CurrentSince Jul 13, 2017 Accepting new patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
Hyatt P Degreen Gamma Laboratory Past Accepting new patients
City of Hope Medical Group of Illinois PLLC Past Accepting new patients
St Lukes Roosevelt Hospital Center Past Accepting new patients

Locations

17 E 102nd St
Fl 3
New York, NY 10029
Phone (212) 241-7968

150 E 42nd St
Fl 9
New York, NY 10017
Phone (646) 605-8119

275 7th Ave
Fl 12
New York, NY 10001
Phone (212) 604-1701

17 E 102nd St
New York, NY 10029
Phone (212) 241-7968

158 W 124th St
New York, NY 10027
Phone (332) 243-0198

703 Lampeter Rd
Lancaster, PA 17602
Phone (717) 291-1313

1858 Charter Ln
Ste 202
Lancaster, PA 17601
Phone (717) 291-1313

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1356912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568160000000",
    "number": "1720324353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 E 102ND ST FL 3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100295204",
            "telephone_number": "212-241-7968",
            "fax_number": "212-824-2312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 E 102ND ST FL 3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100295204",
            "telephone_number": "212-241-7968",
            "fax_number": "212-824-2312"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "275 7th Ave Fl 12",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100016756",
            "country_code": "US",
            "telephone_number": "212-604-1701",
            "fax_number": "212-604-1750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRADY",
        "first_name": "LESLIE",
        "middle_name": "FOLKS",
        "name_prefix": "Ms.",
        "credential": "ANP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-31",
        "last_updated": "2019-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "IL",
            "license": "209.010018",
            "primary": false
        },
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "NY",
            "license": "F305800-1",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F305800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LESLIE",
            "last_name": "BRADY",
            "middle_name": "LOUISE",
            "prefix": "MS.",
            "credential": "ANP-BC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.