Active NPI
Kelly Ledermann, N.P.
- Nurse Practitioner
- Garden City, NY
National Provider Identifier
1942362215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 334555
- Practice address
- 54 New Hyde Park Rd
Garden City, NY 11530-3909 - Phone
- (516) 488-1313
- Fax
- (516) 488-3449
- NPI assigned
- Dec 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 334555 | NY | Primary |
Addresses
Primary practice location
54 New Hyde Park Rd
Garden City, NY 11530-3909
Mailing address
54 New Hyde Park Rd
Garden City, NY 11530-3909
Phone (516) 488-1313
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
54 New Hyde Park Rd
Garden City, NY 11530-3909
Phone (516) 488-1313
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.82 of 100
- Quality
- 87.63
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
Organizations & group practices 1
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.
-
dba All Island Dermatology
- Dermatology Physician
- Garden City, NY
- NPI 1598820698
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706140800000",
"number": "1942362215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "54 NEW HYDE PARK RD",
"city": "GARDEN CITY",
"state": "NY",
"postal_code": "115303909",
"telephone_number": "516-488-1313",
"fax_number": "516-488-3449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "54 NEW HYDE PARK RD",
"city": "GARDEN CITY",
"state": "NY",
"postal_code": "115303909",
"telephone_number": "516-488-1313",
"fax_number": "516-488-3449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEDERMANN",
"first_name": "KELLY",
"name_prefix": "Ms.",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-14",
"last_updated": "2024-01-25",
"certification_date": "2024-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "334555",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garden City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.