Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

STACY LEUNG PA-C
NPI 1740795764
Physician Assistant - Surgical in Philadelphia, PA

Active since December 13, 2017PECOS Enrolled
3400 SPRUCE ST, PHILADELPHIA, PA 19104(215) 662-3830 Get Directions Write a Review

NPPES record last updated: August 4, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 4, 2026, Dec 13, 2017 (2 updates tracked since 2017).

About Stacy Leung Pa-c NPPES

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

STACY LEUNG PA-C (NPI 1740795764) is an individual surgical provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MA059527) and active in the NPI registry since December 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Cherry Hill, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1740795764
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameSTACY LEUNGCredential: PA-C
Location Address3400 SPRUCE STPhiladelphia, PA 19104-4238
Mailing Address3400 Spruce St, 5 RhoadsPhiladelphia, PA 19104-4238 · (215) 662-3830
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateDecember 13, 2017
Last NPPES UpdateAugust 4, 20262 updates tracked since enumeration
NPPES CertifiedAugust 4, 2026
NPI 1740795764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Licenses Licensed in PA · MA059527 Licensed in NJ · 25MP00689300
3400 SPRUCE ST, Philadelphia, PA 19104

Secondary Practice Location 1

Location 11 Brace Rd Ste HCherry Hill, NJ 08034-2600 · Phone (856) 547-0389 · Fax (856) 325-4293

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Stacy Leung Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2365701802
PECOS Enrollment IDI20180109001483
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.

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.

Pediatrics
3400 SPRUCE ST, 8 RAVDIN
PHILADELPHIA, PA 19104
Radiology (Diagnostic Radiology)
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Anesthesiology
3400 SPRUCE ST, 6 DULLES
PHILADELPHIA, PA 19104
Internal Medicine (Pulmonary Disease)
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Student in an Organized Health Care Education/Training Program
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Physician Assistant (Medical)
3400 SPRUCE ST, 4 SILVERSTEIN
PHILADELPHIA, PA 19104
Radiology (Diagnostic Radiology)
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Physical Therapist
3400 SPRUCE ST, 1 WHITE BUILDING
PHILADELPHIA, PA 19104

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 Stacy Leung's NPI number?

The NPI number for Stacy Leung is 1740795764. It was assigned to this individual provider in the NPPES registry on December 13, 2017.

Where is Stacy Leung located?

Stacy Leung practices at 3400 Spruce St, Philadelphia, PA 19104. The listed phone number is (215) 662-3830.

What is Stacy Leung's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Stacy Leung enrolled in Medicare?

Yes. Stacy Leung is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Stacy Leung was last updated on August 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.