Individual provider Active NPI

Courtney Shawn Lesnick, DVM

  • Veterinarian
  • Woodbridge, NJ
National Provider Identifier
1376701680
Registry record updated May 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
VeterinarianTaxonomy code 174M00000X
License
29VI00552900 Issued in NJ
Practice address
165 Main St
Woodbridge, NJ 07095-2129
Phone
(732) 636-5520
NPI assigned
May 23, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Veterinarian 174M00000X 29VI00552900 NJ Primary

Addresses

Primary practice location

165 Main St
Woodbridge, NJ 07095-2129

Mailing address

165 Main St
Woodbridge, NJ 07095-2129
Phone (732) 636-5520

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
29VI00552900NJMDVeterinarian

NPI Registry JSON

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

{
    "created_epoch": "1211500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211500800000",
    "number": "1376701680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 MAIN ST",
            "city": "WOODBRIDGE",
            "state": "NJ",
            "postal_code": "070952129",
            "telephone_number": "732-636-5520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 MAIN ST",
            "city": "WOODBRIDGE",
            "state": "NJ",
            "postal_code": "070952129",
            "telephone_number": "732-636-5520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESNICK",
        "first_name": "COURTNEY",
        "middle_name": "SHAWN",
        "name_prefix": "Dr.",
        "credential": "DVM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-23",
        "last_updated": "2008-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174M00000X",
            "taxonomy_group": "",
            "desc": "Veterinarian",
            "state": "NJ",
            "license": "29VI00552900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.