Active NPI
Lenny Syriac George, NP-C
- Internal Medicine Physician
- Hackensack, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 26NJ00654000
- Practice address
- 30 Prospect Ave
Hackensack, NJ 07601-1915 - Phone
- (551) 996-4466
- NPI assigned
- Mar 30, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 26NJ00654000 | NJ | |
| Gerontology Nurse Practitioner | 363LG0600X | 26NJ00654000 | NJ | |
| Primary Care Nurse Practitioner | 363LP2300X | 26NJ00654000 | NJ | |
| Internal Medicine Physician | 207R00000X | 26NJ00654000 | NJ | Primary |
Addresses
Primary practice location
30 Prospect Ave
Hackensack, NJ 07601-1915
Mailing address
30 Prospect Ave
Hackensack, NJ 07601-1915
Phone (551) 996-4466
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
94 Old Short Hills Rd
Livingston, NJ 07039-5672
Phone (201) 322-5000
Hospital & facility affiliations
- Cooperman Barnabas Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ00654000 | NJ | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hackensack Meridian Health Medical Group - Specialty Care PC | Internal Medicine | Current | Accepting new patients |
| Maimonides Medical Center | Current | Accepting new patients | |
| Livingston Hospital Physicians, P.a. | Current | Accepting new patients | |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current | Accepting new patients | |
| Memorial Anesthesiology Group | Current | Accepting new patients | |
| Maimonides Faculty Practice Plan | Internal Medicine | Current | Accepting new patients |
Locations
30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066
30 Prospect Ave
Ste 2
Hackensack, NJ 07601
Phone (551) 996-1298
94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400
1944 State Route 33
Neptune, NJ 07753
Phone (732) 776-3787
66 W Gilbert St
Tinton Falls, NJ 07701
Phone (732) 212-0051
66 W Gilbert St
Fl 2
Tinton Falls, NJ 07701
Phone (732) 212-0051
4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724
4508 16th Ave
Brooklyn, NY 11204
Phone (718) 972-8018
1275 York Ave
New York, NY 10065
Phone (212) 639-3813
Interoperability endpoints
- lennygeorge@mai.allscriptsdirect.net
- https://fhir4.healow.com/fhir/r4/IHJHBD
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Physician
- Livingston, NJ
- NPI 1659372662
-
- Surgical Critical Care Physician
- Red Bank, NJ
- NPI 1215989249
Internal Medicine
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1053344846
-
- Anesthesiology Physician
- New York, NY
- NPI 1467423020
-
- Durable Medical Equipment & Medical Supplies
- North Bergen, NJ
- NPI 1215734199
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1093777492
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Livingston, NJ
- NPI 1396857488
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677196800000",
"number": "1063944973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 PROSPECT AVE",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076011915",
"telephone_number": "551-996-4466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 PROSPECT AVE",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076011915",
"telephone_number": "551-996-4466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEORGE",
"first_name": "LENNY",
"middle_name": "SYRIAC",
"credential": "NP-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-03-30",
"last_updated": "2023-02-24",
"certification_date": "2023-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NJ",
"license": "26NJ00654000",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "NJ",
"license": "26NJ00654000",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "NJ",
"license": "26NJ00654000",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "26NJ00654000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hackensack, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; 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.