Individual provider Active NPI

Lejla Pacavar

  • Family Nurse Practitioner
  • Rochester, NY
National Provider Identifier
1982410213
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
355215 Issued in NY
Practice address
103 Canal Landing Blvd Ste 12
Rochester, NY 14626-4181
Phone
(585) 227-1080
Fax
(585) 723-7709
NPI assigned
Dec 11, 2024
Last updated
Dec 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 355215 NY Primary
Gastroenterology Physician 207RG0100X 355215 NY

Addresses

Primary practice location

103 Canal Landing Blvd Ste 12
Rochester, NY 14626-4181

Mailing address

1827 Jackson Rd
Penfield, NY 14526-1215
Phone (585) 298-0636

Other practice location 1

20 Hagen Dr Ste 330
Rochester, NY 14625-2664
Phone (585) 267-4040

Other practice location 2

1555 Long Pond Rd
Rochester, NY 14626-4164
Phone (585) 227-1080

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
I20250205002081 NY Practitioner - Nurse Practitioner 8820528987 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rochester Gastroenterology AssociatesGroup PAC ID 3678552973, 10 clinicians
Gastrointestinal Care of Long Island PLLCGroup PAC ID 7517042211, 175 clinicians

Practice addresses (Care Compare)

103 Canal Landing Blvd
Suite 12
Rochester, NY 14626-5108
Phone (585) 227-1080

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
355215NYMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gastrointestinal Care of Long Island PLLC Gastroenterology CurrentSince Jun 7, 2025 Accepting new patients
Rochester Gastroenterology Associates Gastroenterology CurrentSince Jan 6, 2025 Accepting new patients
Nyc Medical of Queens PC PastSince Mar 9, 2020 Accepting new patients
Gastroenterology Group of Rochester, LLP Gastroenterology Past Accepting new patients

Locations

1375 Washington Ave
Ste 101
Albany, NY 12206
Phone (518) 438-4483

101 Lincoln Pkwy
East Rochester, NY 14445

101 Lincoln Pkwy
Ste 4
East Rochester, NY 14445

7916 37th Ave
Jackson Heights, NY 11372
Phone (212) 927-0013

187 Veterans Blvd
Massapequa, NY 11758
Phone (516) 795-5523

103 Canal Landing Blvd
Ste 12
Rochester, NY 14626
Phone (585) 227-1080

1555 Long Pond Rd
Rochester, NY 14626
Phone (585) 429-2289

20 Hagen Dr
Ste 330
Rochester, NY 14625
Phone (585) 267-4040

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CAEACD
  • Direct secure messaging: lpacavar410672@direct.rochesterregional.org

Organizations & group practices 4

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 7

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

NPI Registry JSON

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

{
    "created_epoch": "1733875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1982410213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1827 JACKSON RD",
            "city": "PENFIELD",
            "state": "NY",
            "postal_code": "145261215",
            "telephone_number": "585-298-0636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 CANAL LANDING BLVD STE 12",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146264181",
            "telephone_number": "585-227-1080",
            "fax_number": "585-723-7709"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 Hagen Dr Ste 330",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146252664",
            "country_code": "US",
            "telephone_number": "585-267-4040",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1555 Long Pond Rd",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146264164",
            "country_code": "US",
            "telephone_number": "585-227-1080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PACAVAR",
        "first_name": "LEJLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-11",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "355215",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "355215",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.