Individual provider Active NPI

Leslie Rychalsky, NP

  • Independent Medical Examiner Physician
  • Feasterville Trevose, PA
National Provider Identifier
1912510017
Registry record updated Aug 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Independent Medical Examiner PhysicianTaxonomy code 202C00000X
License
SP021893 Issued in PA
Practice address
811 David Dr
Feasterville Trevose, PA 19053-6168
Phone
(215) 510-9841
NPI assigned
Aug 28, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Independent Medical Examiner Physician 202C00000X SP021893 PA Primary

Addresses

Primary practice location

811 David Dr
Feasterville Trevose, PA 19053-6168

Mailing address

811 David Dr
Feasterville Trevose, PA 19053-6168
Phone (215) 510-9841

Other identifiers 1

IdentifierTypeStateIssuer
000000000MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Feasterville Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP021893PAMDIndependent Medical Examiner Physician

NPI Registry JSON

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

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598572800000",
    "number": "1912510017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 DAVID DR",
            "city": "FEASTERVILLE TREVOSE",
            "state": "PA",
            "postal_code": "190536168",
            "telephone_number": "215-510-9841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 DAVID DR",
            "city": "FEASTERVILLE TREVOSE",
            "state": "PA",
            "postal_code": "190536168",
            "telephone_number": "215-510-9841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYCHALSKY",
        "first_name": "LESLIE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-28",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "202C00000X",
            "taxonomy_group": "",
            "desc": "Independent Medical Examiner",
            "state": "PA",
            "license": "SP021893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000000000",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Feasterville",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4055 Valley View Ln Ste 400",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752445071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Feasterville Trevose, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.