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

Jonathan Leiderman

Individual provider Physician Assistant · NPI 1912753211

Jonathan Leiderman is a Physician Assistant in Syracuse, New York. Qualified in 2024, 2 years ago. Practices with Department of Medicine Medical Serv Grp at Suny Hlth Sci Ctr Syr In, a 276-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
2
Licensed in
NY
In the registry since
2024
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Practice location Address checks out

1000 E Genesee St
Syracuse, NY 13210-1892
Phone: (315) 464-1600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 032084 (NY)

Record details

NPI number1912753211
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 26, 2024
Last updated in NPPESJanuary 8, 2026
Certification dateJanuary 8, 2026
Mailing address1000 E Genesee St, Syracuse, NY 13210-1892

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Department Of Medicine Medical Serv Grp At Suny Hlth Sci Ctr Syr In — 276 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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