Individual provider Active NPI

Leah Rass, NP

  • Women's Health Nurse Practitioner
  • Lakewood, NJ
National Provider Identifier
1205202660
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
26NJ00661700 Issued in NJ
Practice address
290 River Ave
Lakewood, NJ 08701-4810
Phone
(732) 364-9696
Fax
(732) 367-0758
NPI assigned
Aug 19, 2015
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN2297140 MA
Women's Health Nurse Practitioner 363LW0102X 26NJ00661700 NJ Primary

Addresses

Primary practice location

290 River Ave
Lakewood, NJ 08701-4810

Mailing address

290 River Ave
Lakewood, NJ 08701-4810
Phone (732) 364-9696

Other practice location 1

1173 Beacon Ave Ste B
Manahawkin, NJ 08050-2420
Phone (609) 597-6094

Other identifiers 2

IdentifierTypeStateIssuer
RN2297140OtherMABOARD OF REGISTRATION IN NURSING
26NJ00661700OtherNJADVANCED PRACTICE NURSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Old Colony Hospice Inc PastSince Apr 6, 2023 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1205202660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 RIVER AVE",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087014810",
            "telephone_number": "732-364-9696",
            "fax_number": "732-367-0758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 RIVER AVE",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087014810",
            "telephone_number": "732-364-9696",
            "fax_number": "732-367-0758"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1173 Beacon Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Manahawkin",
            "state": "NJ",
            "postal_code": "080502420",
            "country_code": "US",
            "telephone_number": "609-597-6094",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RASS",
        "first_name": "LEAH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-19",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN2297140",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NJ",
            "license": "26NJ00661700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF REGISTRATION IN NURSING",
            "identifier": "RN2297140",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVANCED PRACTICE NURSE",
            "identifier": "26NJ00661700",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.