Individual provider Active NPI

Leonid Kapulsky, MD

  • Psychiatry Physician
  • Fair Lawn, NJ
National Provider Identifier
1649633876
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
25MA11482300 Issued in NJ
Practice address
40-05 Kuiken Ter
Fair Lawn, NJ 07410-5323
Phone
(201) 873-7640
NPI assigned
Apr 4, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 25MA11482300 NJ Primary

Addresses

Primary practice location

40-05 Kuiken Ter
Fair Lawn, NJ 07410-5323

Mailing address

40-05 Kuiken Ter
Fair Lawn, NJ 07410-5323
Phone (201) 873-7640

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lkapulsky361210@nyumc.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 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
I20200916000552 NY Practitioner - Psychiatry 0648518787 Reassigns benefits to 1 organization
I20230803001256 NJ Practitioner - Psychiatry 0648518787 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Tufts University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wayne Behavioral Service LLCGroup PAC ID 8820097561, 34 clinicians

Practice addresses (Care Compare)

401 Hamburg Tpke
Suite 302
Wayne, NJ 07470-2139
Phone (973) 790-9222

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Jul 1, 2020 Accepting new patients
New York University CurrentSince Jul 1, 2020 Accepting new patients
Alliance Psychotherapy, LLC CurrentSince Sep 5, 2023 Accepting new patients
Wayne Behavioral Service, LLC Psychiatry CurrentSince Jul 3, 2023 Accepting new patients

Locations

401 Hamburg Tpke
Ste 302
Wayne, NJ 07470
Phone (973) 790-9222

1 Park Ave
New York, NY 10016
Phone (646) 754-5000

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Interoperability endpoints

  • Direct secure messaging: lkapulsky361210@nyumc.direct-ci.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1459728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1649633876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40-05 KUIKEN TER",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074105323",
            "telephone_number": "201-873-7640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40-05 KUIKEN TER",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074105323",
            "telephone_number": "201-873-7640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPULSKY",
        "first_name": "LEONID",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-04",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA11482300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lkapulsky361210@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "1 Park Ave",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100165802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fair Lawn, NJ

Sources for this page

Verify at the official NPI Registry.