Individual provider Active NPI

Leah Samantha Banks

  • Family Nurse Practitioner
  • Clifton, NJ
National Provider Identifier
1457036428
Registry record updated Jun 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ14850700 Issued in NJ
Practice address
1033 US Highway 46 Ste 102
Clifton, NJ 07013-2448
Phone
(973) 779-7979
NPI assigned
Jun 19, 2023
Last updated
Jun 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ14850700 NJ Primary

Addresses

Primary practice location

1033 US Highway 46 Ste 102
Clifton, NJ 07013-2448

Mailing address

85 Crestview Dr
Willingboro, NJ 08046-3537
Phone (609) 969-0590

Other identifiers 1

IdentifierTypeStateIssuer
26NJ14850700OtherNJLICENSE # APN; NJ BOARD OF NURSING

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250818001962 NJ Practitioner - Nurse Practitioner 0244739191 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

433 Bellevue Ave
FL 4
Trenton, NJ 08618-4514
Phone (609) 278-6029

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Henry J Austin Health Center Inc CurrentSince Aug 23, 2025 Accepting new patients
Henry J. Austin Health Center, Inc. CurrentSince Aug 23, 2025 Accepting new patients
Henry J Austin Health Center, Inc Past Accepting new patients

Locations

321 N Warren St
Trenton, NJ 08618
Phone (609) 278-6029

433 Bellevue Ave
Fl 4
Trenton, NJ 08618
Phone (609) 815-2677

Interoperability endpoints

  • Direct secure messaging: leah.banks.1@12521.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1687132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1457036428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 CRESTVIEW DR",
            "city": "WILLINGBORO",
            "state": "NJ",
            "postal_code": "080463537",
            "telephone_number": "609-969-0590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 US HIGHWAY 46 STE 102",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070132448",
            "telephone_number": "973-779-7979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANKS",
        "first_name": "LEAH",
        "middle_name": "SAMANTHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-19",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ14850700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE # APN; NJ BOARD OF NURSING",
            "identifier": "26NJ14850700",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

Verify at the official NPI Registry.