Individual provider Active NPI

Elizabeth Leege, PA

  • Surgical Physician Assistant
  • Halfmoon, NY
National Provider Identifier
1770250433
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
026880 Issued in NY
Practice address
1768 Route 9
Halfmoon, NY 12065-2402
Phone
(518) 489-2663
NPI assigned
Aug 30, 2021
Last updated
Jul 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 026880 NY
Surgical Physician Assistant 363AS0400X 026880 NY Primary

Addresses

Primary practice location

1768 Route 9
Halfmoon, NY 12065-2402

Mailing address

121 Everett Rd
Albany, NY 12205-1474
Phone (518) 489-2663

Other practice location 1

5 Care Ln
Saratoga Springs, NY 12866-8623
Phone (518) 489-2663

Other practice location 2

100 Park Street
Glens Falls Hospital Surgical PA Program
Glens Falls, NY 12801-4413
Phone (518) 926-6992

Other identifiers 1

IdentifierTypeStateIssuer
06799788MedicaidNY

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
I20211005003185 NY Practitioner - Physician Assistant 5799183794 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedicsny, LLPGroup PAC ID 6901898170, 115 clinicians

Practice addresses (Care Compare)

121 Everett Rd
Albany, NY 12205-1474
Phone (518) 489-2663

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
026880NYMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedicsny, LLP CurrentSince Mar 1, 2024 Accepting new patients
Orthopedicsny, LLP CurrentSince Mar 1, 2024 Accepting new patients

Locations

16 Maxwell Dr
Clifton Park, NY 12065
Phone (518) 557-1800

121 Everett Rd
Colonie, NY 12205

1768 Route 9
Halfmoon, NY 12065

5 Care Ln
Saratoga Springs, NY 12866
Phone (518) 587-0845

Interoperability endpoints

  • Direct secure messaging: eleege26493@albanymed.direct-ci.com

Organizations & group practices 3

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.

Hospital & facility affiliations 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1630281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785110400000",
    "number": "1770250433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 EVERETT RD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122051474",
            "telephone_number": "518-489-2663",
            "fax_number": "518-689-3881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1768 ROUTE 9",
            "city": "HALFMOON",
            "state": "NY",
            "postal_code": "120652402",
            "telephone_number": "518-489-2663"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Care Ln",
            "address_purpose": "LOCATION",
            "city": "Saratoga Springs",
            "state": "NY",
            "postal_code": "128668623",
            "country_code": "US",
            "telephone_number": "518-489-2663",
            "fax_number": "518-689-3881",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Park Street",
            "address_2": "Glens Falls Hospital Surgical PA Program",
            "address_purpose": "LOCATION",
            "city": "Glens Falls",
            "state": "NY",
            "postal_code": "128014413",
            "country_code": "US",
            "telephone_number": "518-926-6992",
            "fax_number": "518-926-6983",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEEGE",
        "first_name": "ELIZABETH",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-30",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "026880",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "026880",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06799788",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Halfmoon, NY

Sources for this page

Verify at the official NPI Registry.