Active NPI
Leen Hosam Alyacoub, M.B.B.S
- Nephrology Physician
- Hamilton, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 25MA12487600
- Practice address
- 2333 Whitehorse Mercerville Rd Ste 3
Hamilton, NJ 08619-1946 - Phone
- (609) 890-9111
- NPI assigned
- May 1, 2020
- Reactivated
- Jun 26, 2023
- Last updated
- Aug 12, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 25MA12487600 | NJ | Primary |
Addresses
Primary practice location
2333 Whitehorse Mercerville Rd Ste 3
Hamilton, NJ 08619-1946
Mailing address
22207 Cedar Dr Apt 22207
Lawrence Township, NJ 08648-1267
Phone (716) 994-5943
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 25MA12487600 | Other | NJ | NJ LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1557 Kuser Rd
Hamilton, NJ 08619-1946
Phone (609) 890-9111
2333 Whitehorse Mercerville Rd
Suite 4
Mercerville, NJ 08619-1946
Phone (609) 890-9111
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA12487600 | NJ | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Consultants in Kidney Diseases PA | Nephrology | Current | Accepting new patients |
Locations
2333 Whitehorse Mercerville Rd
#3
Mercerville, NJ 08619
2333 Whthrs Mrcvl Rd
Ste 4
Trenton, NJ 08619
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Nephrology Physician
- Mercerville, NJ
- NPI 1225064942
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Regional Medical Center
- General Acute Care Hospital
- Trenton, NJ
- NPI 1275583726
-
dba Capital Health Medical Center - Hopewell
- General Acute Care Hospital
- Pennington, NJ
- NPI 1073516183
-
- General Acute Care Hospital
- Hamilton, NJ
- NPI 1629069638
-
- General Acute Care Hospital
- New Brunswick, NJ
- NPI 1346243375
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754956800000",
"number": "1013538917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22207 CEDAR DR APT 22207",
"city": "LAWRENCE TOWNSHIP",
"state": "NJ",
"postal_code": "086481267",
"telephone_number": "716-994-5943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2333 WHITEHORSE MERCERVILLE RD STE 3",
"city": "HAMILTON",
"state": "NJ",
"postal_code": "086191946",
"telephone_number": "609-890-9111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALYACOUB",
"first_name": "LEEN",
"middle_name": "HOSAM",
"name_prefix": "Ms.",
"credential": "M.B.B.S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-01",
"last_updated": "2025-08-12",
"certification_date": "2025-08-12",
"deactivation_date": "2022-01-11",
"reactivation_date": "2023-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "NJ",
"license": "25MA12487600",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NJ LICENSE",
"identifier": "25MA12487600",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hamilton, NJ
- Allies, Inc.
- Allies, Inc.
- Allies, Inc.
- Danielle Alu, CCC-SLP
- Gabriela Alvarez, PHARMD, BCPS
- American Group of Companies, LTD. ((DBA)Oxford Healthcare staffing, formerly American Staffing Group)
- American Rib Pain Institute
- Americans Home Health Care LLC
- Americare Medical Associates LLC
- Sangeeta A Amin, PTA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.