Individual provider Active NPI

Celeste Leary, MSN, APN, FNP-C

  • Geriatric Medicine (Family Medicine) Physician
  • Whiting, NJ
National Provider Identifier
1144922337
Registry record updated Mar 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
26NJ01372900 Issued in NJ
Practice address
401 Lacey Rd # B
Whiting, NJ 08759-1386
Phone
(732) 849-1075
NPI assigned
Mar 20, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X 26NJ01372900 NJ Primary

Addresses

Primary practice location

401 Lacey Rd # B
Whiting, NJ 08759-1386

Mailing address

401 Lacey Rd # B
Whiting, NJ 08759-1386
Phone (732) 849-1075

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
I20230906001017 NJ Practitioner - Nurse Practitioner 7911360185 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Omg Senior Care LLC CurrentSince Feb 6, 2025 Accepting new patients
Ocean Medical Group,P.a. CurrentSince Aug 1, 2023 Accepting new patients
Ocean Adult Medical Group, L.L.C. Past Accepting new patients

Locations

401 Lacey Rd
#B
Whiting, NJ 08759
Phone (732) 849-1075

63 Lacey Rd
Ste F
Whiting, NJ 08759
Phone (732) 849-1075

401 Lacey Rd
Ste B
Whiting, NJ 08759
Phone (732) 849-1075

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JGGAAA

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.

NPI Registry JSON

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

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679270400000",
    "number": "1144922337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 LACEY RD # B",
            "city": "WHITING",
            "state": "NJ",
            "postal_code": "087591386",
            "telephone_number": "732-849-1075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 LACEY RD # B",
            "city": "WHITING",
            "state": "NJ",
            "postal_code": "087591386",
            "telephone_number": "732-849-1075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEARY",
        "first_name": "CELESTE",
        "credential": "MSN, APN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-20",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "NJ",
            "license": "26NJ01372900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whiting, NJ

Sources for this page

Verify at the official NPI Registry.