NPIMap

Individual provider Active NPI

Colleen Lisa Lenard, PA-C

  • Medical Physician Assistant
  • Little Silver, NJ
National Provider Identifier
1265741367
Registry record updated Jul 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
25MP00246000 Issued in NJ
Practice address
180 White Rd
Suite 209
Little Silver, NJ 07739-1166
Phone
(732) 842-0673
Fax
(732) 842-7352
NPI assigned
Oct 7, 2010
Last updated
Jul 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 25MP00246000 NJ Primary

Addresses

Primary practice location

180 White Rd
Suite 209
Little Silver, NJ 07739-1166

Mailing address

PO Box 22581
New York, NY 10087-2581
Phone (732) 842-0673

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address colleen.lenard@axia.eclinicaldirectplus.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170817002254 NJ Practitioner - Physician Assistant 2668695354 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Womens Health Group LLCGroup PAC ID 2961316328, 352 clinicians

Practice addresses (Care Compare)

1 Bethany Rd
Suite 2
Hazlet, NJ 07730-1659
Phone (732) 264-7687

180 White Rd
Little Silver, NJ 07739-1166
Phone (732) 842-0673

188 Fries Mill Rd
N1
Turnersville, NJ 08012-2055
Phone (856) 875-0505

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Womens Health Group LLC CurrentSince Jul 3, 2017 Accepting new patients

Locations

1 Bethany Rd
Ste 31
Hazlet, NJ 07730
Phone (732) 264-7687

180 White Rd
Ste 204
Little Silver, NJ 07739
Phone (732) 842-4111

180 White Rd
Ste 209
Little Silver, NJ 07739
Phone (732) 842-0673

188 Fries Mill Rd
Ste N1
Turnersville, NJ 08012
Phone (609) 261-7023

Interoperability endpoints

  • Direct secure messaging: colleen.lenard@axia.eclinicaldirectplus.com

Organizations & group practices 2

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1286409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626393600000",
    "number": "1265741367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22581",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100872581",
            "telephone_number": "732-842-0673",
            "fax_number": "732-842-7352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 WHITE RD",
            "address_2": "SUITE 209",
            "city": "LITTLE SILVER",
            "state": "NJ",
            "postal_code": "077391166",
            "telephone_number": "732-842-0673",
            "fax_number": "732-842-7352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENARD",
        "first_name": "COLLEEN",
        "middle_name": "LISA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-07",
        "last_updated": "2021-07-16",
        "certification_date": "2021-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "25MP00246000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "colleen.lenard@axia.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "180 White Rd",
            "address_2": "Suite 209",
            "city": "Little Silver",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "077391166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Little Silver, NJ

Sources for this page

Verify at the official NPI Registry.