Andrea Leon-Popovych

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

AG08210071 Issued in NJ

Practice address

703 Bergen St
South Plainfield, NJ 07080-2703

Phone

(718) 302-3704

NPI assigned

Oct 7, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Institute for Hypertension and Kidney Diseases PC

  dba Ihkd

  • Nephrology Physician
  • Rahway, NJ
  • NPI 1053441840

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1665100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665100800000",
    "number": "1134844582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 BERGEN ST",
            "city": "SOUTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070802703",
            "telephone_number": "917-386-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 BERGEN ST",
            "city": "SOUTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070802703",
            "telephone_number": "718-302-3704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEON-POPOVYCH",
        "first_name": "ANDREA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-07",
        "last_updated": "2022-10-07",
        "certification_date": "2021-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ01380200",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "AG08210071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laxmi Narayan Home Health Care LLC (Garden State Medical Home Health Care)
• Richard S Lebovicz, MD
• William George Leder, D.M.D.
• So Jeong Lee
• Tsung Han Lee, LAC.
• Thomas Leopold, MD
• Alyssa Liivi Lepik, PT, DPT
• Barry Marc Lerner, OD DOCTOR OF OPTOMET
• David Lessing, MD
• Jennifer Lewis, RDN

• Gerontology Nurse Practitioner in South Plainfield, NJ
• Providers in South Plainfield, NJ by specialty
• Gerontology Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.