Active NPI
Leora Bornstein, PA-C
- Physician Assistant
- Woodmere, NY
National Provider Identifier
1730726829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 024238
- Practice address
- 975 Dartmouth LN
Woodmere, NY 11598-1009 - Phone
- (516) 569-0414
- NPI assigned
- Dec 8, 2019
- Last updated
- Dec 8, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 024238 | NY | Primary |
Addresses
Primary practice location
975 Dartmouth LN
Woodmere, NY 11598-1009
Mailing address
975 Dartmouth LN
Woodmere, NY 11598-1009
Phone (516) 569-0414
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250711002141 | NY | Practitioner - Physician Assistant | 0749795581 |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
12 Franklin PL
Woodmere, NY 11598-1265
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 024238 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575763200000",
"number": "1730726829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "975 DARTMOUTH LN",
"city": "WOODMERE",
"state": "NY",
"postal_code": "115981009",
"telephone_number": "516-569-0414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "975 DARTMOUTH LN",
"city": "WOODMERE",
"state": "NY",
"postal_code": "115981009",
"telephone_number": "516-569-0414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORNSTEIN",
"first_name": "LEORA",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-12-08",
"last_updated": "2019-12-08",
"certification_date": "2019-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "024238",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodmere, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2019; 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.