Active NPI
Lea Tesfahun
- Nurse Practitioner
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 342821
- Practice address
- 165 Smith St
Brooklyn, NY 11201-6337 - Phone
- (212) 441-4380
- Fax
- (415) 252-7176
- NPI assigned
- May 10, 2016
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R194322 | MD | |
| Family Nurse Practitioner | 363LF0000X | 342821 | NY | |
| Nurse Practitioner | 363L00000X | 342821 | NY | Primary |
Addresses
Primary practice location
165 Smith St
Brooklyn, NY 11201-6337
Mailing address
1 Embarcadero Ctr Ste 1900
San Francisco, CA 94111-3723
Phone (415) 658-6791
Other practice location 1
12215 Darnestown Rd
Market St
Gaithersburg, MD 20878-2203
Phone (866) 389-2727
Other practice location 2
12215 Darnestown Rd
Market St
Gaithersburg, MD 20878-2203
Phone (866) 389-2727
Other practice location 3
515 Madison Ave Fl 25
New York, NY 10022
Phone (212) 530-0650
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
165 Smith St
Brooklyn, NY 11201-6337
Phone (212) 441-4380
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R194322 | MD | MD | Family Nurse Practitioner |
| 342821 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| One Medical of Ny, P.C. | Current | Accepting new patients | |
| Mount Sinai School of Medicine | Current | Accepting new patients |
Locations
1 Embarcadero Ctr
Ste 1900
San Francisco, CA 94111
165 Smith St
Brooklyn, NY 11201
Phone (212) 441-4380
1155 Northern Blvd
Manhasset, NY 11030
Phone (516) 407-4000
1615 Northern Blvd
Manhasset, NY 11030
Phone (516) 627-3717
515 Madison Ave
Fl 25
New York, NY 10022
Phone (212) 530-0650
919 3rd Ave
Ste 105
New York, NY 10022
Phone (212) 530-0650
515 Madison Ave
Fl 25
New York, NY 10022
Phone (212) 530-0650
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.
-
- Family Medicine Physician
- New York, NY
- NPI 1528538774
-
- Family Medicine Physician
- New York, NY
- NPI 1861709487
-
- Anesthesiology Physician
- Bronx, NY
- NPI 1063525152
-
- Internal Medicine Physician
- Manhasset, NY
- NPI 1144659749
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741910400000",
"number": "1730535634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 EMBARCADERO CTR STE 1900",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941113723",
"telephone_number": "415-658-6791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "165 SMITH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112016337",
"telephone_number": "212-441-4380",
"fax_number": "415-252-7176"
}
],
"practiceLocations": [
{
"address_1": "12215 Darnestown Rd",
"address_2": "Market St",
"address_purpose": "LOCATION",
"city": "Gaithersburg",
"state": "MD",
"postal_code": "208782203",
"country_code": "US",
"telephone_number": "866-389-2727",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12215 Darnestown Rd",
"address_2": "Market St",
"address_purpose": "LOCATION",
"city": "Gaithersburg",
"state": "MD",
"postal_code": "208782203",
"country_code": "US",
"telephone_number": "866-389-2727",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "515 Madison Ave Fl 25",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "10022",
"country_code": "US",
"telephone_number": "212-530-0650",
"fax_number": "212-867-4353",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TESFAHUN",
"first_name": "LEA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-10",
"last_updated": "2025-03-14",
"certification_date": "2025-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "R194322",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "342821",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "342821",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; 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.
- 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.