Leah Mary Geoghegan, AGNP-C, FMCP-M

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

308726 Issued in NY

Practice address

347 Fifth Ave
Suite 1402-342
New York, NY 10016-5034

Phone

(646) 849-2782

Fax

(646) 349-0133

NPI assigned

Jul 7, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Nov 10, 2020 through Nov 10, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Emergence Health NP Adult Health PLLC

  • Primary Care Clinic/Center
  • New York, NY
  • NPI 1356118210
  NPD Authorized official

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

{
    "created_epoch": "1499385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1851813117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "347 5TH AVE STE 1402-342",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100165010",
            "telephone_number": "646-849-2782",
            "fax_number": "646-349-0133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 FIFTH AVE",
            "address_2": "SUITE 1402-342",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100165034",
            "telephone_number": "646-849-2782",
            "fax_number": "646-349-0133"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 Main St",
            "address_2": "Suite 857",
            "address_purpose": "LOCATION",
            "city": "Essex",
            "state": "CT",
            "postal_code": "064261172",
            "country_code": "US",
            "telephone_number": "646-849-2782",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEOGHEGAN",
        "first_name": "LEAH",
        "middle_name": "MARY",
        "credential": "AGNP-C, FMCP-M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-07",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "NY",
            "license": "688126",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "11894",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CT",
            "license": "207439",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NY",
            "license": "308726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Schamona Genus
• Justin Genziano, M.D.
• Genzyme Corporation
• Geoffrey Westrich MD, PC
• Jade J Geoffroy, RN
• Mary B Geoghegan, NP
• Rosemarie Geoghegan
• Stacey Geoghegan, NP
• Sofia Georgaklis
• Aikaterini Georgantza, DDS

• Gerontology Nurse Practitioner in New York, NY
• Providers in New York, NY by specialty
• Gerontology Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.