MRS. ELISSA LEBOW PA-C
NPI 1841479540
Physician Assistant - Surgical in Staten Island, NY

Q: What is Elissa Lebow's NPI number?

The NPI number for Elissa Lebow is 1841479540. It was assigned to this individual provider in the NPPES registry on October 30, 2007.

Q: What is Elissa Lebow's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Elissa Lebow was last updated on June 4, 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.

Active since October 30, 2007PECOS EnrolledAccepts Medicare Assignment

475 SEAVIEW AVE, STATEN ISLAND, NY 10305(718) 226-9000 Get Directions Write a Review

NPPES record last updated: June 4, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mrs. Elissa Lebow Pa-c NPPES

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

MRS. ELISSA LEBOW PA-C (NPI 1841479540) is an individual surgical provider in Staten Island, New York, licensed in New York (010005) and active in the NPI registry since October 2007. She is enrolled in Medicare PECOS, is affiliated with St Joseph's University Medical Center Inc, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1841479540

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameMRS. ELISSA LEBOWCredential: PA-C

Location Address475 SEAVIEW AVEStaten Island, NY 10305-3436

Mailing Address27 Kinghorn StStaten Island, NY 10312-6113 · (718) 967-1171

Phone(718) 226-9000

Sole ProprietorNo

Medical School CMSOtherGraduated 2003

Enumeration DateOctober 30, 2007

Last NPPES UpdateJune 4, 2008

✔ NPI 1841479540 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

License✔ Licensed in NY · 010005

475 SEAVIEW AVE, Staten Island, NY 10305

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Other Identifiers 1

Medicare PIN5EE7GMW231NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

Mrs. Elissa Lebow 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 ID7618046939

PECOS Enrollment IDI20140324001611

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Joseph's University Medical Center Inc

Acute Care Hospitals · Paterson, NJ

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number310019

Location703 Main StPaterson, NJ 07503 · Passaic County

Birthing friendly

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.

MRS. DAWN MARIE COTTONE RPA-C

Physician Assistant (Surgical)