Active NPI
Leslie Bronstein, PSY.D.
- Psychologist
- East Brunswick, NJ
National Provider Identifier
1497812531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- SI 03141
- Practice address
- 7 Auer CT
Suite C
East Brunswick, NJ 08816-5829 - Phone
- (732) 613-6010
- Fax
- (732) 238-5600
- NPI assigned
- Jan 1, 2007
- Last updated
- Sep 21, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | SI 03141 | NJ | Primary |
Addresses
Primary practice location
7 Auer CT
Suite C
East Brunswick, NJ 08816-5829
Mailing address
7 Auer CT
Suite C
East Brunswick, NJ 08816-5829
Phone (732) 613-6010
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050629001026 | NJ | Practitioner - Clinical Psychologist | 9234175217 | Practice locations: Long Branch, NJ |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
Long Branch, NJ 07740
Phone (732) 613-6010
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SI 03141 | NJ | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348185600000",
"number": "1497812531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 AUER CT",
"address_2": "SUITE C",
"city": "EAST BRUNSWICK",
"state": "NJ",
"postal_code": "088165829",
"telephone_number": "732-613-6010",
"fax_number": "732-238-5600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 AUER CT",
"address_2": "SUITE C",
"city": "EAST BRUNSWICK",
"state": "NJ",
"postal_code": "088165829",
"telephone_number": "732-613-6010",
"fax_number": "732-238-5600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRONSTEIN",
"first_name": "LESLIE",
"name_prefix": "Mrs.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-01",
"last_updated": "2012-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NJ",
"license": "SI 03141",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Brunswick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.