Leisure Village Medical Services PLLC
NPI 1922931344 · Geriatric Medicine (Internal Medicine) Physician · Ridge, NY
Leisure Village Medical Services PLLC is a Geriatric Medicine (Internal Medicine) Physician organization in Ridge, NY (NPI 1922931344).
Provider details
- NPI number
- 1922931344
- Entity type
- Organization
- Primary specialty
- Geriatric Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Nathanael Desire, Owner(631) 806-7341
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Leisure Village Primary Care (lvpc)
Registry dates
- Enumerated
- 2026-06-05
- Last updated
- 2026-06-05
- Certified
- 2026-06-05
Frequently asked questions
- What is Leisure Village Medical Services PLLC's NPI number?
- Leisure Village Medical Services PLLC's National Provider Identifier (NPI) is 1922931344, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Leisure Village Medical Services PLLC?
- Leisure Village Medical Services PLLC is classified in the NPPES registry as Geriatric Medicine (Internal Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Leisure Village Medical Services PLLC located?
- Leisure Village Medical Services PLLC's practice location on file with NPPES is 681 Whiskey Rd Unit 2, Ridge, NY 11961-8351.
- What is Leisure Village Medical Services PLLC's phone number?
- The practice phone number listed in the NPPES registry for Leisure Village Medical Services PLLC is (631) 675-0488.
- Who is the authorized official for Leisure Village Medical Services PLLC?
- The authorized official listed on Leisure Village Medical Services PLLC's NPPES record is Nathanael Desire, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Leisure Village Medical Services PLLC's NPI active?
- Yes — Leisure Village Medical Services PLLC's NPI (1922931344) is active in the NPPES registry as of the last update on 2026-06-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.