Provider Demographics
NPI:1700922150
Name:LEFFERTS MEDICAL ASSOCIATES PC
Entity Type:Organization
Organization Name:LEFFERTS MEDICAL ASSOCIATES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:INDERPAL
Authorized Official - Middle Name:SINGH
Authorized Official - Last Name:CHHABRA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-347-0434
Mailing Address - Street 1:26619 UNION TPKE
Mailing Address - Street 2:
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11040-1426
Mailing Address - Country:US
Mailing Address - Phone:718-347-0434
Mailing Address - Fax:718-347-0517
Practice Address - Street 1:26619 UNION TPKE
Practice Address - Street 2:
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11040-1426
Practice Address - Country:US
Practice Address - Phone:718-347-0434
Practice Address - Fax:718-347-0517
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-30
Last Update Date:2022-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY220535207R00000X
207R00000X, 207RC0000X, 207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYG33927Medicare UPIN
NYH31107Medicare UPIN
NY06147Medicare ID - Type UnspecifiedGHI MEDICARE ID