Individual provider Active NPI

Joanne Leader, AGNP-C

  • Gerontology Registered Nurse
  • Colts Neck, NJ
National Provider Identifier
1104539485
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Registered NurseTaxonomy code 163WG0600X
License
26NJ01476400 Issued in NJ
Practice address
1 Eagle Nest Rd
Colts Neck, NJ 07722-1062
Phone
(917) 816-6649
NPI assigned
Jan 2, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Registered Nurse 163WG0600X 26NJ01476400 NJ Primary

Addresses

Primary practice location

1 Eagle Nest Rd
Colts Neck, NJ 07722-1062

Mailing address

1 Eagle Nest Rd
Colts Neck, NJ 07722-1062
Phone (917) 816-6649

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL hrtcenter25@gmail.com

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240220001296 NJ Practitioner - Nurse Practitioner 8022452952 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Barnabas Health Medical Group PCGroup PAC ID 9537316955, 1,027 clinicians

Practice addresses (Care Compare)

200 Wyckoff Rd
Suite 1400
Eatontown, NJ 07724-1927
Phone (615) 972-9119

Hospital & facility affiliations

  • Monmouth Medical Center Hospital, Long Branch, NJ, CCN 310075
  • Community Medical Center Hospital, Toms River, NJ, CCN 310041
  • Monmouth Medical Center-Southern Campus Hospital, Lakewood, NJ, CCN 310084

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ01476400NJMDGerontology Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Barnabas Health Medical Group PC CurrentSince Jan 8, 2024 Accepting new patients
HRT Center of New Jersey LLC Current Accepting new patients
Barnabas Health Medical Group PC CurrentSince Jan 8, 2024 Accepting new patients

Locations

200 Wyckoff Rd
Ste 1400
Eatontown, NJ 07724
Phone (732) 818-3811

200 Wyckoff Rd
Ste 4300
Eatontown, NJ 07724

475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

379 Campus Dr
Fl 4
Somerset, NJ 08873
Phone (732) 507-6545

67 Route 37 W
Fl 3
Toms River, NJ 08755
Phone (732) 523-5110

Organizations & group practices 3

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1672617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1104539485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EAGLE NEST RD",
            "city": "COLTS NECK",
            "state": "NJ",
            "postal_code": "077221062",
            "telephone_number": "917-816-6649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 EAGLE NEST RD",
            "city": "COLTS NECK",
            "state": "NJ",
            "postal_code": "077221062",
            "telephone_number": "917-816-6649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEADER",
        "first_name": "JOANNE",
        "credential": "AGNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-02",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gerontology",
            "state": "NJ",
            "license": "26NJ01476400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "hrtcenter25@gmail.com",
            "affiliation": "N",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "information",
            "address_1": "1208 Rte 34 Ste 18",
            "city": "Aberdeen",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "077471966",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Colts Neck, NJ

Sources for this page

Verify at the official NPI Registry.