Individual provider Active NPI

Leah Ann Bocchicchio, APN-BC

  • Family Nurse Practitioner
  • Egg Harbor Township, NJ
National Provider Identifier
1194199265
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00604900 Issued in NJ
Practice address
2500 English Creek Ave
BLD. 200. Suite 214
Egg Harbor Township, NJ 08234-5549
Phone
(609) 909-0200
Fax
(609) 909-0267
NPI assigned
Nov 30, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00604900 NJ Primary

Addresses

Primary practice location

2500 English Creek Ave
BLD. 200. Suite 214
Egg Harbor Township, NJ 08234-5549

Mailing address

3 Jacobs LN
Voorhees, NJ 08043-4125
Phone (609) 560-3423

Other names 1

  • Leah Ricciardi Former name

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
I20160229002635 NJ Practitioner - Nurse Practitioner 1153626114 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Atlanticare Physician Group PAGroup PAC ID 8527953660, 506 clinicians

Practice addresses (Care Compare)

2500 English Creek Ave
214 Apg Pavilion OB/GYN
Egg Harbor Township, NJ 08234-5598
Phone (609) 677-7211

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanticare Physician Group, PA CurrentSince Jan 18, 2016 Accepting new patients
Atlanticare Physician Group PA Current Accepting new patients
Atlanticare Physician Group CurrentSince Jan 18, 2016 Accepting new patients
Atlanticare Physician Group Past Accepting new patients

Locations

2500 English Creek Ave
Ste 214
Egg Harbor Twp, NJ 08234
Phone (609) 909-0200

2500 English Creek Ave
Ste 602
Egg Harbor Twp, NJ 08234
Phone (609) 272-6340

2500 English Creek Ave
Ste 222
Egg Harbor Twp, NJ 08234
Phone (609) 382-5066

459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815

Organizations & group practices 4

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": "1448841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1194199265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 JACOBS LN",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434125",
            "telephone_number": "609-560-3423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 ENGLISH CREEK AVE",
            "address_2": "BLD. 200. SUITE 214",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "082345549",
            "telephone_number": "609-909-0200",
            "fax_number": "609-909-0267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOCCHICCHIO",
        "first_name": "LEAH",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "APN-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-30",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00604900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEAH",
            "last_name": "RICCIARDI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Egg Harbor Township, NJ

Sources for this page

Verify at the official NPI Registry.