Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Leisure Village Medical Services PLLC

Organization Geriatric Medicine (Internal Medicine) Physician · NPI 1922931344

Leisure Village Medical Services PLLC is a Geriatric Medicine (Internal Medicine) Physician in Ridge, New York. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

681 Whiskey Rd Unit 2
Ridge, NY 11961-8351
Phone: (631) 675-0488
Fax: (934) 899-0421
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Medicine (Internal Medicine) Physician (primary) Taxonomy 207RG0300X

Record details

NPI number1922931344
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nathanael Desire — Owner · (631) 806-7341
Other names Leisure Village Primary Care (Lvpc)
NPI enumeratedJune 5, 2026
Last updated in NPPESJune 5, 2026
Certification dateJune 5, 2026
Mailing address681 Whiskey Rd Unit 2, Ridge, NY 11961-8351