Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

LEISURE VILLAGE MEDICAL SERVICES PLLC
NPI 1922931344
Internal Medicine - Geriatric Medicine in Ridge, NY

Q: What is Leisure Village Medical Services PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Active since June 05, 2026

681 WHISKEY RD UNIT 2, RIDGE, NY 11961(631) 675-0488(934) 899-0421 Get Directions Write a Review

NPPES record added: June 5, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Leisure Village Medical Services Pllc NPPES

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

LEISURE VILLAGE MEDICAL SERVICES PLLC (NPI 1922931344), doing business as Leisure Village Primary Care (lvpc), is a healthcare organization registered as a geriatric medicine in Ridge, New York and active in the NPI registry since June 2026. The organization lists Nathanael Desire, Owner, as its authorized official.

NPPES Registry Identity

NPI1922931344

Entity TypeOrganization

Primary Taxonomy207RG0300X

Legal Business NameLEISURE VILLAGE MEDICAL SERVICES PLLC

Location Address681 WHISKEY RD UNIT 2Ridge, NY 11961-8351

Mailing Address681 Whiskey Rd Unit 2Ridge, NY 11961-8351 · (631) 675-0488 · Fax (934) 899-0421

Phone(631) 675-0488

Fax(934) 899-0421

Organization SubpartNo

Authorized OfficialNathanael DesireOwner · (631) 806-7341

Enumeration DateJune 5, 2026

NPPES CertifiedJune 5, 2026

✔ NPI 1922931344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RG0300X

Definition

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

681 WHISKEY RD UNIT 2, Ridge, NY 11961

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Other Names 1

Doing Business AsLeisure Village Primary Care (lvpc)

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

Other Providers at the Same Location NPPES

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

GPC CONSULTANTS LLC

Internal Medicine

681 WHISKEY RD UNIT 2
RIDGE, NY 11961

Suffolk County (631) 675-0488

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 Leisure Village Medical Services PLLC's NPI number?

The NPI number for Leisure Village Medical Services PLLC is 1922931344. It was assigned to this organization in the NPPES registry on June 5, 2026. The provider is doing business as Leisure Village Primary Care (LVPC).

Where is Leisure Village Medical Services PLLC located?

Leisure Village Medical Services PLLC is located at 681 Whiskey Rd Unit 2, Ridge, NY 11961. The listed phone number is (631) 675-0488.

What is Leisure Village Medical Services PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

When was this NPI record last updated?

The NPPES record for Leisure Village Medical Services PLLC was last updated on June 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.