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Premise Health of New York Medical, P.C

Primary Care Clinic/Center in Lakewood, NY · enumerated 2008 · authorized official Jon Leizman, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1093991598

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Registry record

Entity type Organization (Type 2)
Legal business name Premise Health of New York Medical, P.C
Other name <Unavail>
Practice address 4720 Baker Street Ext, Lakewood, NY, 14750
Fax (716) 456-2628
Enumeration date Jan 14, 2008
Last updated in NPPES Aug 15, 2022

Taxonomy & classification

261QP2300X Primary Care Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Jon Leizman
Title President

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Premise Health of New York Medical, P.C?
Premise Health of New York Medical, P.C is registered in NPPES as a Primary Care Clinic/Center (its primary provider taxonomy).

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-08-15.