Individual provider Active NPI

Cheryl Ann Leiningen, DNP

  • Adult Health Nurse Practitioner
  • Eatontown, NJ
National Provider Identifier
1265879241
Registry record updated May 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NN09307800 Issued in NJ
Practice address
615 Hope Rd Ste 5
Eatontown, NJ 07724-1273
Phone
(732) 571-1000
Fax
(732) 571-1156
NPI assigned
May 30, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 26NN09307800 NJ Primary

Addresses

Primary practice location

615 Hope Rd Ste 5
Eatontown, NJ 07724-1273

Mailing address

35 Lakeland Dr
Port Monmouth, NJ 07758-1004
Phone (732) 740-9432

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
I20130815000301 NJ Practitioner - Nurse Practitioner 7618119942 Practice locations: Eatontown, NJ

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
New York University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

615 Hope Rd
Suite 2
Eatontown, NJ 07724-1273
Phone (732) 740-9432

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NN09307800NJMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
C Leiningen LLC Current Accepting new patients

Locations

615 Hope Rd
Ste 2
Tinton Falls, NJ 07724
Phone (732) 285-1190

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1369872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369872000000",
    "number": "1265879241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 LAKELAND DR",
            "city": "PORT MONMOUTH",
            "state": "NJ",
            "postal_code": "077581004",
            "telephone_number": "732-740-9432",
            "fax_number": "732-787-9266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 HOPE RD STE 5",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077241273",
            "telephone_number": "732-571-1000",
            "fax_number": "732-571-1156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEININGEN",
        "first_name": "CHERYL",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-30",
        "last_updated": "2013-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NN09307800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eatontown, NJ

Sources for this page

Verify at the official NPI Registry.