Individual provider Active NPI

Susan Beth Leifer, ARNP

  • Primary Care Nurse Practitioner
  • Boynton Beach, FL
National Provider Identifier
1356475628
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
ARNP1802402 Issued in FL
Practice address
10817 S Jog Rd Ste 230
Boynton Beach, FL 33437-0912
Phone
(561) 634-8888
NPI assigned
Mar 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X ARNP1802402 FL Primary

Addresses

Primary practice location

10817 S Jog Rd Ste 230
Boynton Beach, FL 33437-0912

Mailing address

10817 S Jog Rd Ste 230
Boynton Beach, FL 33437-0912
Phone (561) 634-8888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20100301000282 FL Practitioner - Nurse Practitioner 4486799574 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cambridge Medical Group of West Boynton LLCGroup PAC ID 7012059066, 5 clinicians

Practice addresses (Care Compare)

10817 S Jog Rd
Suite 230
Boynton Beach, FL 33437-0912
Phone (561) 634-8888

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cambridge Medical Group of West Boynton LLC CurrentSince Oct 22, 2009 Accepting new patients

Locations

10817 S Jog Rd
Ste 230
Boynton Beach, FL 33437
Phone (561) 634-8888

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1356475628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10817 S JOG RD STE 230",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334370912",
            "telephone_number": "561-634-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10817 S JOG RD STE 230",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334370912",
            "telephone_number": "561-634-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIFER",
        "first_name": "SUSAN",
        "middle_name": "BETH",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "ARNP1802402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.