Elizabeth M. Dunleavy, A.P.N.,C

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

26NR06442100 Issued in NJ

Practice address

15 Dellwood LN
Somerset, NJ 08873-1551

Phone

(732) 545-4200

Fax

(732) 846-1089

NPI assigned

Aug 1, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8568/brand/1/csg/1/fhir/r4

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.

• Saint Peter'S University Hospital

  • General Acute Care Hospital
  • New Brunswick, NJ
  • NPI 1114924834
  Medicare reassignment NPD
• Saint Peter'S University Hospital

  • Clinical Psychologist
  • New Brunswick, NJ
  • NPI 1376079590
  NPD

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275540643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 JUNCTION POND LN",
            "city": "MONMOUTH JUNCTION",
            "state": "NJ",
            "postal_code": "088522925",
            "telephone_number": "732-438-1595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 DELLWOOD LN",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088731551",
            "telephone_number": "732-545-4200",
            "fax_number": "732-846-1089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNLEAVY",
        "first_name": "ELIZABETH",
        "middle_name": "M.",
        "name_prefix": "Mrs.",
        "credential": "A.P.N.,C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NR06442100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7475403",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eusebio Dulog
• Dungarvin New Jersey, LLC - Victory Day Program
• Dungarvin New Jersey, LLC-Rachel
• Dungarvin New Jersey, LLC-Somerset Day Program Atid
• Chrystal Dunkers, LPC
• Dynamic Rehab Physical Therapy PC
• Herbert Todd Eachus, BCBA-D
• Earth Angel Services, LLC
• Earth House, Inc.
• Eastern Podiatry PLLC

• Gerontology Nurse Practitioner in Somerset, NJ
• Providers in Somerset, NJ by specialty
• Gerontology Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.