Individual provider Active NPI

Ellen P Lestz, M.D.

  • Pediatric Adolescent Medicine Physician
  • Armonk, NY
National Provider Identifier
1992747075
Registry record updated Dec 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
2136001 Issued in NY
Practice address
99 Business Park Dr
Armonk, NY 10504-1720
Phone
(914) 849-7900
Fax
(914) 849-7995
NPI assigned
Jun 12, 2006
Last updated
Dec 17, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X 2136001 NY Primary

Addresses

Primary practice location

99 Business Park Dr
Armonk, NY 10504-1720

Mailing address

99 Business Park Dr
Armonk, NY 10504-1720
Phone (914) 849-7900

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160120002552 NY Practitioner - Pediatric Medicine 8325341647 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2136001NYMDPediatric Adolescent Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
White Plains Physician Services PC CurrentSince Mar 9, 2021 Accepting new patients

Locations

99 Business Park Dr
Armonk, NY 10504
Phone (914) 219-8515

185 Kisco Ave
Ste 300
Mount Kisco, NY 10549
Phone (914) 242-2020

1296 North Ave
New Rochelle, NY 10804
Phone (914) 235-7435

325 Route 100
Somers, NY 10589
Phone (914) 597-2890

170 Maple Ave
Ste 201
White Plains, NY 10601
Phone (914) 681-2783

41 E Post Rd
White Plains, NY 10601
Phone (914) 681-1201

79 E Post Rd
White Plains, NY 10601
Phone (914) 849-3488

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450310400000",
    "number": "1992747075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 BUSINESS PARK DR",
            "city": "ARMONK",
            "state": "NY",
            "postal_code": "105041720",
            "telephone_number": "914-849-7900",
            "fax_number": "914-849-7995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 BUSINESS PARK DR",
            "city": "ARMONK",
            "state": "NY",
            "postal_code": "105041720",
            "telephone_number": "914-849-7900",
            "fax_number": "914-849-7995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESTZ",
        "first_name": "ELLEN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2015-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NY",
            "license": "2136001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Armonk, NY

Sources for this page

Verify at the official NPI Registry.