Individual provider Active NPI

Lesleyann Velilla, N.P.

  • Pediatric Nurse Practitioner
  • Long Island City, NY
National Provider Identifier
1750766291
Registry record updated Mar 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
F382545 Issued in NY
Practice address
3300 Northern Blvd
New York Foundling Hospital
Long Island City, NY 11101-2221
Phone
(917) 485-7564
Fax
(718) 551-3580
NPI assigned
Jul 27, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X F382545 NY Primary

Addresses

Primary practice location

3300 Northern Blvd
New York Foundling Hospital
Long Island City, NY 11101-2221

Mailing address

3300 Northern Blvd
New York Foundling Hospital
Long Island City, NY 11101-2221
Phone (917) 485-7564

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200626001225 NY Practitioner - Nurse Practitioner 5991127524 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F382545NYMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC CurrentSince Mar 1, 2020 Accepting new patients
Joseph P. Addabbo Family Health Center, Inc. CurrentSince Dec 30, 2024 Accepting new patients
Joseph P. Addabbo Family Health Center, Inc. CurrentSince Dec 30, 2024 Accepting new patients
Joseph P. Addabbo Family Health Center, Inc. Current Accepting new patients
Joseph P. Addabbo Family Health Center, Inc. Current Accepting new patients
Joseph P. Addabbo Family Health Center, Inc. Past Accepting new patients

Locations

6200 Beach Channel Dr
Fl 3
Arverne, NY 11692
Phone (929) 995-0733

6200 Beach Channel Dr
Arverne, NY 11692
Phone (718) 945-2400

120 Richards St
Brooklyn, NY 11231
Phone (718) 834-8202

1288 Central Ave
Far Rockaway, NY 11691
Phone (718) 327-1700

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

26901 76th Ave
New Hyde Park, NY 11040
Phone (718) 470-3000

300 Community Dr
Plandome, NY 11030

972 Brush Hollow Rd
Westbury, NY 11590

Networks

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

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1437955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488758400000",
    "number": "1750766291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 NORTHERN BLVD",
            "address_2": "NEW YORK FOUNDLING HOSPITAL",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111012221",
            "telephone_number": "917-485-7564",
            "fax_number": "718-551-3580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 NORTHERN BLVD",
            "address_2": "NEW YORK FOUNDLING HOSPITAL",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111012221",
            "telephone_number": "917-485-7564",
            "fax_number": "718-551-3580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELILLA",
        "first_name": "LESLEYANN",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-27",
        "last_updated": "2017-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "F382545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Island City, NY

Sources for this page

Verify at the official NPI Registry.