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

MS. Leah Gustavson, PA

Individual provider Physician Assistant · NPI 1730197773

MS. Leah Gustavson, PA is a Physician Assistant in Commack, New York. Graduated from State University of New York at Stony Brook, School of Medicine in 1994, 32 years ago. Practices with New York University, a 5,884-clinician group and accepts Medicare assignment. Licensed in Florida and New York.

Years since qualifying
32
Trained at
State University of New York at Stony Brook, School of Medicine
Licensed in
FL, NY
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

763 Larkfield Rd
Commack, NY 11725-3131
Phone: (631) 462-2225
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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 005119 (NY)
Physician Assistant Taxonomy 363A00000X · Licence PA 9105115 (FL)

Record details

NPI number1730197773
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 4, 2006
Last updated in NPPESNovember 9, 2012

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolSTATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated 1994 (32 years in practice)
Group practice New York University — 5884 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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