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

Lesly Gracia Michel, MD

Individual provider Pediatrics Physician · NPI 1194983429

Lesly Gracia Michel, MD is a Pediatric Medicine in Far Rockaway, New York. Qualified in 2002, 24 years ago. Practices with St John's Medical Services PC, a 86-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
24
Licensed in
NY
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

495 Beach 20th St
Far Rockaway, NY 11691-3621
Phone: (347) 619-5950
Show map & directions

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

Specialties & licences

Pediatric Endocrinology Physician (primary) Taxonomy 2080P0205X · Licence 251187 (NY)
Pediatrics Physician Taxonomy 208000000X · Licence 251187 (NY)

Record details

NPI number1194983429
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 22, 2008
Last updated in NPPESJuly 21, 2022

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice St John'S Medical Services Pc — 86 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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