Kal Lezak, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

023674 Issued in NY

Practice address

3 Century Dr
Parsippany, NJ 07054-4610

Phone

(518) 308-8166

NPI assigned

May 21, 2019

Last updated

Nov 4, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kalen Lezak Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: klezak153959@direct.trinity-health.org

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.

• Wellnow Urgent Care, PC

  dba WellNow Urgent Care

  • Urgent Care Clinic/Center
  • Liverpool, NY
  • NPI 1669825162
  Medicare reassignment NPD

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

{
    "created_epoch": "1558396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572825600000",
    "number": "1932766367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 WALL ST",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129013755",
            "telephone_number": "518-308-8166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 CENTURY DR",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070544610",
            "telephone_number": "518-308-8166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEZAK",
        "first_name": "KAL",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-21",
        "last_updated": "2019-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "023674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KALEN",
            "last_name": "LEZAK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lawrence S Leibowitz, DPM
• Alyson Terese Leloia, DPT
• Jennifer Karen Lenci, LCSW
• Melissa Yibersi Leonardo
• Anne Leung
• Annie Hongyan Li, M.D.
• Life Choice Hospice of New Jersey, LLC (Compassus - Greater New Jersey)
• Life Ok Dental LLC
• Lifestance
• Lily Tung Psychiatry LLC

• Physician Assistant in Parsippany, NJ
• Providers in Parsippany, NJ by specialty
• Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.