NELLY GONZALEZ-LEPAGE MD, MBA
NPI 1679100366
Psychiatry & Neurology - Psychiatry in New York, NY

Q: What is Nelly Gonzalez-lepage's NPI number?

The NPI number for Nelly Gonzalez-lepage is 1679100366. It was assigned to this individual provider in the NPPES registry on March 24, 2020.

Q: What is Nelly Gonzalez-lepage's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Active since March 24, 2020PECOS Enrolled

1 PARK AVE FL 7, NEW YORK, NY 10016(646) 754-5000 Get Directions Write a Review

NPPES record last updated: June 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 18, 2024, Mar 24, 2020 (2 updates tracked since 2020).

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About Nelly Gonzalez-lepage Md, Mba NPPES

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

NELLY GONZALEZ-LEPAGE MD, MBA (NPI 1679100366) is an individual psychiatry provider in New York, New York, licensed in New York (320608) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (2020).

NPPES Registry Identity

NPI1679100366

Entity TypeIndividualFemale

Primary Taxonomy2084P0800X

Provider Legal NameNELLY GONZALEZ-LEPAGECredential: MD, MBA

Location Address1 PARK AVE FL 7New York, NY 10016-5818

Mailing Address1 Park Ave Fl 7New York, NY 10016-5818 · (646) 754-5000

Phone(646) 754-5000

Sole ProprietorYes

Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 2020

Enumeration DateMarch 24, 2020

Last NPPES UpdateJune 18, 20242 updates tracked since enumeration

NPPES CertifiedJune 18, 2024

✔ NPI 1679100366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in NY · 320608

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1 PARK AVE FL 7, New York, NY 10016

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nelly Gonzalez-lepage Md, Mba is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8628417730

PECOS Enrollment IDI20260401002911

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10016 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$198.19 typical visit price

range $65.69 – $198.19

Typical copayment $49.54 (range $16.42 – $49.54)

Most-billed visit code 99205

Established Patient

$81.44 typical visit price

range $21.20 – $160.66

Typical copayment $20.36 (range $5.30 – $40.16)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEPHANIE LAURA MICHELE RADEMEYER MD

Psychiatry & Neurology (Psychiatry)