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

Mrs. Elissa Lebow, PA-C

Individual provider Surgical Physician Assistant · NPI 1841479540

Mrs. Elissa Lebow, PA-C is a Physician Assistant in Staten Island, New York. Qualified in 2003, 23 years ago. Practices with St Josephs Medical Group PC, a 226-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
23
Licensed in
NY
In the registry since
2007
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

475 Seaview Ave
Staten Island, NY 10305-3436
Phone: (718) 226-9000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 010005 (NY)

Record details

NPI number1841479540
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 30, 2007
Last updated in NPPESJune 4, 2008

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice St Josephs Medical Group Pc — 226 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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