Active NPIIndividual provider

John L Leary, PA-C

Physician Assistant, Surgical in Worcester, Massachusetts

NPI Number1619938438
Practice location
123 Summer St, Worcester, MA 01608-1200
Fax
—
Last updated
July 13, 2026

John L Leary is a Physician Assistant, Surgical based in Worcester, MA. John L Leary practices in Worcester, MA and has the professional credentials of PA-C. The NPI Number for John L Leary is 1619938438 and holds a License No. 1364 (MA). The current practice location address for John L Leary is 123 Summer St, Worcester, MA 01608-1200 and can be reached out via phone at 508-363-5000.

Provider Profile Details

NPI Number
1619938438
Provider Name
John L Leary
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
123 Summer St, Worcester, MA 01608-1200
Phone Number
508-363-5000
Primary Taxonomy
Physician Assistant, Surgical · 363AS0400X
Sole Proprietor
No
Provider Enumeration Date
March 31, 2006
Last Update Date
July 13, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
123 Summer St
Worcester, MA 01608-1200
Zip
01608-1200
Phone Number
508-363-5000
Worcester, MA 01608Get directions →

Provider Business Mailing Address Details

Address
123 Summer St
Worcester, MA 01608-1200
City
Worcester
State
MA
Zip
01608-1200
Phone Number
508-363-5000

License Information

License Number
1364
License State
MA
Taxonomy
Physician Assistant, Surgical · 363AS0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of John L Leary, PA-C?

The NPI number of John L Leary, PA-C is 1619938438. It was assigned on March 31, 2006 and is currently active in the NPPES registry.

What is the specialty of John L Leary, PA-C?

John L Leary, PA-C is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in MA under license number 1364.

Where does John L Leary, PA-C practice?

The practice location is 123 Summer St, Worcester, MA 01608-1200. The office can be reached at 508-363-5000 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1619938438 directly on the NPPES registry website.

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