JOSIANE LEDERMAN, MD PC
NPI 1366597395
Specialist in Staten Island, NY

Active since January 23, 2007CLIA 33D0931734 · Certificate of Compliance
116 LAMBERTS LN, STATEN ISLAND, NY 10314(718) 370-0422(718) 983-6152 Get Directions Write a Review

NPPES record last updated: August 1, 2008. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Josiane Lederman, Md Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOSIANE LEDERMAN, MD PC (NPI 1366597395) is a healthcare organization registered as a specialist in Staten Island, New York and active in the NPI registry since January 2007. The organization holds a CLIA Certificate of Compliance certificate valid through February 7, 2027 and lists Josiane Lederman, Owner, as its authorized official.

NPPES Registry Identity

NPI1366597395
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameJOSIANE LEDERMAN, MD PC
Location Address116 LAMBERTS LNStaten Island, NY 10314-7210
Mailing Address116 Lamberts LnStaten Island, NY 10314-7210 · (718) 370-0422 · Fax (718) 983-6152
Fax(718) 983-6152
Organization SubpartNo
Authorized OfficialJosiane LedermanOwner · (718) 370-0422
Enumeration DateJanuary 23, 2007
Last NPPES UpdateAugust 1, 2008
✔ NPI 1366597395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 170385
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
116 LAMBERTS LN, Staten Island, NY 10314

Other Identifiers 2

Other33D0931734NY · Clia
Medicare ID-Type UnspecifiedW2T081NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Josiane Lederman, Md Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew YorkEnrollment IDO20040318000086Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Josiane Lederman, MD PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (6)

Dermatology
NPI 1619981511
116 LAMBERTS LN
Staten Island, NY 10314
(718) 370-0422
✔ PECOS✔ Accepts MedicareSame address
Micrographic Dermatologic Surgery (MDS)
NPI 1528300878
156 WILLIAM ST FL 11
New York, NY 10038
(646) 962-3376
✔ PECOS✔ Accepts Medicare10 mi
Pathology
NPI 1609863570
550 1ST AVE 10 U
New York, NY 10016
(212) 263-5687
✔ PECOS✔ Accepts Medicare13 mi
Dermatology
NPI 1154569275
911 PARK AVE SUITE 1A
New York, NY 10075
(212) 722-7242
✔ PECOS✔ Accepts Medicare15 mi
Dermatology
NPI 1336295955
5 E 98TH ST FL 5
New York, NY 10029
(212) 241-9065
✔ PECOS16 mi
Pathology
NPI 1508248782
1133 WESTCHESTER AVE
White Plains, NY 10604
(617) 413-2307
✔ PECOS✔ Accepts Medicare36 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 33D0931734

Josiane Lederman MD PC · Staten Island, NY
Active · expires Feb 7, 2027
CLIA Number33D0931734
Laboratory TypePhysician Office
Certificate Effective DateFebruary 8, 2025
Certificate Expiration DateFebruary 7, 2027
Laboratory DirectorDr. Tatyana A. Petukhova
Laboratory Phone(718) 370-0422
Laboratory LocationJosiane Lederman MD PC116 Lamberts Lane, Staten Island, NY 10314
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Josiane Lederman, MD PC's NPI number?

The NPI number for Josiane Lederman, MD PC is 1366597395. It was assigned to this organization in the NPPES registry on January 23, 2007.

Where is Josiane Lederman, MD PC located?

Josiane Lederman, MD PC is located at 116 Lamberts Ln, Staten Island, NY 10314. The listed phone number is (718) 370-0422.

What is Josiane Lederman, MD PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Josiane Lederman, MD PC enrolled in Medicare?

Yes. Josiane Lederman, MD PC is registered in the Medicare PECOS enrollment system.

When is Josiane Lederman, MD PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Josiane Lederman, MD PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 3 Medicare specialties reassign their Medicare billing to Josiane Lederman, MD PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Dermatology (3), Pathology (2) and Micrographic Dermatologic Surgery (MDS) (1). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Josiane Lederman, MD PC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 33D0931734) is associated with this NPI, valid through February 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Josiane Lederman, MD PC was last updated on August 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.