Active NPI
Leah Rass, NP
- Women's Health Nurse Practitioner
- Lakewood, NJ
National Provider Identifier
1205202660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 26NJ00661700
- 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, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN2297140 | Other | MA | BOARD OF REGISTRATION IN NURSING |
| 26NJ00661700 | Other | NJ | ADVANCED 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Old Colony Hospice Inc | Past | 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.
-
- Family Nurse Practitioner
- W Bridgewater, MA
- NPI 1144330002
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.