Dolis Lebreault, APN

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

26NJ00373500 Issued in NJ

Practice address

275 Chestnut St
Newark, NJ 07105-1570

Phone

(973) 589-5545

NPI assigned

Sep 12, 2011

Sex

Female

Sole proprietor

No

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

Specialty

Nurse Practitioner

Education

Rutgers New Jersey Medical School, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Essex Gastro Associates, PAGroup PAC ID 2668447939, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

92.69 of 100Reported as group

Quality

88.93

Improvement activities

40

Cost

90.4

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dolislebreault@essexgastro.medentdirect.com

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.

• Essex Gastro Associates, PA

  • Gastroenterology Physician
  • Newark, NJ
  • NPI 1114933926
  Medicare reassignment Care Compare group NPD
• Essex Endoscopy Center LLC

  • Ambulatory Surgical Clinic/Center
  • Newark, NJ
  • NPI 1891701611
  NPD (past)

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

{
    "created_epoch": "1315785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484092800000",
    "number": "1184906554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 CHESTNUT ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071051570",
            "telephone_number": "973-589-5545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 CHESTNUT ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071051570",
            "telephone_number": "973-589-5545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBREAULT",
        "first_name": "DOLIS",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-12",
        "last_updated": "2017-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR11166500",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00373500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• LDS Partners in Care LLC
• Kevin Le, DDS
• Tri Le
• Lead Charter School
• Zachary G Lebowitz, MD
• Bomsol Lee, MD
• Brian Seokwon Lee, MD
• Christina Inbok Lee, MD
• Chung Hee Lee, OD
• Edward Sang Keun Lee, M.D.

• Adult Health Nurse Practitioner in Newark, NJ
• Providers in Newark, NJ by specialty
• Adult Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2017; 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.

Verify at the official NPI Registry.