Active NPI
Atmaca LLC
Doing business as Leaf Health
- Community/Retail Pharmacy
- Burlington, NJ
National Provider Identifier
1417511932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- ATMACA LLC
- Doing business as
- Leaf Health
Leaf Health Pharmacy - Practice address
- 665 High St
Burlington, NJ 08016-2737 - Phone
- (609) 526-4319
- Fax
- (609) 526-4981
- NPI assigned
- Apr 30, 2019
- Last updated
- Mar 4, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shakhnoza Madaminova
- Title
- Owner
- Phone
- (845) 399-5544
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
665 High St
Burlington, NJ 08016-2737
Mailing address
665 High St
Burlington, NJ 08016-2737
Phone (609) 526-4319
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0705462 | Medicaid | NJ |
Other names 2
- LEAF HEALTH
- Leaf Health Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240619001830 | NJ | Part B Supplier - Pharmacy | 6204262124 | Practice locations: Burlington, NJ |
National Provider Directory
National Provider DirectoryLocations
665 High St
Burlington City, NJ 08016
Phone (609) 386-2324
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Levittown, PA
- NPI 1073919825
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556582400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1741046400000",
"number": "1417511932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "665 HIGH ST",
"city": "BURLINGTON",
"state": "NJ",
"postal_code": "080162737",
"telephone_number": "609-526-4319",
"fax_number": "609-526-4981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "665 HIGH ST",
"city": "BURLINGTON",
"state": "NJ",
"postal_code": "080162737",
"telephone_number": "609-526-4319",
"fax_number": "609-526-4981"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ATMACA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-04-30",
"last_updated": "2025-03-04",
"certification_date": "2025-03-04",
"status": "A",
"authorized_official_last_name": "MADAMINOVA",
"authorized_official_first_name": "SHAKHNOZA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "845-399-5544"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0705462",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "LEAF HEALTH",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Leaf Health Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Burlington, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.