Individual provider Active NPI

Oleksiy Lelyanov, D.O.

  • Pain Medicine (Anesthesiology) Physician
  • Langhorne, PA
National Provider Identifier
1356730337
Registry record updated Jan 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
25MB10025600 Issued in NJ
Practice address
680 Middletown Blvd
Ste 201
Langhorne, PA 19047-1817
Phone
(267) 802-1002
Fax
(609) 537-7301
NPI assigned
Jan 14, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 25MB10025600 NJ
Anesthesiology Physician 207L00000X 25MB10025600 NJ
Student in an Organized Health Care Education/Training Program 390200000X P14-00533 NJ
Pain Medicine (Anesthesiology) Physician 207LP2900X 25MB10025600 NJ Primary

Addresses

Primary practice location

680 Middletown Blvd
Ste 201
Langhorne, PA 19047-1817

Mailing address

680 Middletown Blvd
Ste 201
Langhorne, PA 19047-1817
Phone (267) 802-1002

Other practice location 1

1 Robert Wood Johnson Pl
New Brunswick, NJ 08901-1928
Phone (732) 828-3000

Other practice location 2

1314 Hooper Ave Bldg B
Toms River, NJ 08753-2586
Phone (732) 575-1550

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address oleksiy.lelyanov.1@12833.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170628002051 NJ Practitioner - Pain ManagementPractitioner - Anesthesiology 5294004628 Reassigns benefits to 2 organizations
I20220119003068 PA Practitioner - Pain ManagementPractitioner - Anesthesiology 5294004628 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Capital Health Medical GroupGroup PAC ID 7618264532, 442 clinicians

Practice addresses (Care Compare)

2 Capital Way
Pennington, NJ 08534-2521
Phone (609) 537-7300

680 Middletown Blvd
Suite 201
Langhorne, PA 19047-1817
Phone (215) 736-9362

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.91 of 100Reported as apm
Quality
79.42
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
P14-00533NJMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Health Medical Group CurrentSince Feb 1, 2022 Accepting new patients
Rutgers Health-RWJ Primary Medicine Group Current Accepting new patients
Rutgers Health-RWJ Scleroderma Program CurrentSince Feb 1, 2021 Accepting new patients
Rutgers Health-RWJ Scleroderma Program CurrentSince Feb 1, 2021 Accepting new patients
Rutgers Health-RWJ Scleroderma Program Current Accepting new patients
Rutgers Health-RWJ Scleroderma Program Current Accepting new patients

Locations

1700 Nottingham Way
Ste 108
Hamilton, NJ 08619
Phone (609) 303-4870

3131 Princeton Pike
Bldg 5
Lawrenceville, NJ 08648
Phone (609) 844-9661

125 Paterson St
New Brunswick, NJ 08901
Phone (732) 235-6511

125 Paterson St
Ste 6140
New Brunswick, NJ 08901
Phone (732) 235-6230

1 Rwj Pl
New Brunswick, NJ 08901
Phone (732) 235-7887

125 Paterson St
Ste 5123
New Brunswick, NJ 08901
Phone (732) 235-7246

125 Paterson St
Ste 5100
New Brunswick, NJ 08901
Phone (732) 235-7060

317 George St
Fl 3
New Brunswick, NJ 08901
Phone (732) 235-6137

125 Paterson St
Ste 6100
New Brunswick, NJ 08901
Phone (732) 235-6561

2 Capital Way
Ste 385
Pennington, NJ 08534
Phone (609) 303-4838

1 Capital Way
Pennington, NJ 08534
Phone (609) 303-4000

2 Capital Way
Ste 456
Pennington, NJ 08534
Phone (609) 537-7277

680 Middletown Blvd
Ste 201
Langhorne, PA 19047
Phone (215) 736-9362

1050 Stony Hill Rd
Yardley, PA 19067
Phone (215) 504-1761

Interoperability endpoints

  • Direct secure messaging: oleksiy.lelyanov.1@12833.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/12833/brand/1/csg/1/fhir/r4
  • Direct secure messaging: olelyanov18074@epicdirect.rwjbh.org

Organizations & group practices 6

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 2

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": "1421193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1356730337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 MIDDLETOWN BLVD",
            "address_2": "STE 201",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471817",
            "telephone_number": "267-802-1002",
            "fax_number": "609-537-7301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 MIDDLETOWN BLVD",
            "address_2": "STE 201",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471817",
            "telephone_number": "267-802-1002",
            "fax_number": "609-537-7301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Robert Wood Johnson Pl",
            "address_purpose": "LOCATION",
            "city": "New Brunswick",
            "state": "NJ",
            "postal_code": "089011928",
            "country_code": "US",
            "telephone_number": "732-828-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1314 Hooper Ave Bldg B",
            "address_purpose": "LOCATION",
            "city": "Toms River",
            "state": "NJ",
            "postal_code": "087532586",
            "country_code": "US",
            "telephone_number": "732-575-1550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LELYANOV",
        "first_name": "OLEKSIY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-01-14",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MB10025600",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MB10025600",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NJ",
            "license": "P14-00533",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NJ",
            "license": "25MB10025600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "oleksiy.lelyanov.1@12833.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "680 MIDDLETOWN BLVD",
            "address_2": "STE 201",
            "city": "LANGHORNE",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190471817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Langhorne, PA

Sources for this page

Verify at the official NPI Registry.