DR. LESLAW J GREDYSA MD NPI 1184729998

NPI Information

  • NPI: 1184729998
  • Provider Name: DR. LESLAW J GREDYSA, MD
  • Classification: Surgery - 2086S0129X
  • Specialization: Vascular Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 31 MAIN RD
    SUITE 2
    RIVERHEAD, NY
    ZIP 11901
  • Phone: (631) 369-8539

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NPI Details

DR. Leslaw J Gredysa, MD is a vascular surgery surgery in Riverhead, NY with 44 years of experience. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. DR. Leslaw J Gredysa, MD NPI is 1184729998. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

31 MAIN RD
SUITE 2
RIVERHEAD, NY
ZIP 11901
Phone: (631) 369-8539
Fax: (631) 369-5613

The NPI 1184729998 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Complete ultrasound study of arm and leg arteries (HCPCS:93923)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Repair of groin hernia (5 years or older) (HCPCS:49505)
  • Destruction of first incompetent vein of arm or leg using radiofrequency and imaging guidance (HCPCS:36475)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Hernia repair - groin (open) (HCPCS:NAN19)
  • Varicose vein removal (HCPCS:NAN08)

The enumeration date for this NPI number is 9/14/2006 and was last updated on 11/14/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086S0129XSurgeryVascular Surgery175169NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
101465594MEDICAIDNEW YORK
2738310OTHERNEW YORKAETNA
3D93284MEDICARE UPIN
435085OTHERNEW YORKVYTRA
505F751MEDICARE ID-TYPE UNSPECIFIEDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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