NPIMap

Individual provider Active NPI

Leslie Richard Cauvin, DO

  • Internal Medicine Physician
  • Lakewood, NJ
National Provider Identifier
1669478483
Registry record updated Aug 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MB06672100 Issued in NJ
Practice address
400 New Hampshire Ave
Lakewood, NJ 08701-4509
Phone
(732) 901-6400
Fax
(732) 901-0744
NPI assigned
Jun 27, 2005
Last updated
Aug 31, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MB06672100 NJ Primary

Addresses

Primary practice location

400 New Hampshire Ave
Lakewood, NJ 08701-4509

Mailing address

2290 W County Line Rd
Jackson, NJ 08527-2267
Phone (732) 942-4455

Other identifiers 1

IdentifierTypeStateIssuer
7690207MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090813000618 NJ Practitioner - Internal Medicine 1850443490 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Rowan University School of Osteopathic Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BC Medical Care LLCGroup PAC ID 7214089853, 2 clinicians

Practice addresses (Care Compare)

1747 Hooper Ave
Suite 8
Toms River, NJ 08753-8130
Phone (732) 255-6777

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bayada Home Health Care, Inc. CurrentSince Dec 1, 2019 Accepting new patients
BC Medical Care LLC Internal Medicine CurrentSince Apr 16, 2009 Accepting new patients
Bayada Home Health Care, Inc. CurrentSince Dec 1, 2019 Accepting new patients
Community Medical Center Inc Past Accepting new patients
Riverfront Healthcare Associates Inc Past Accepting new patients

Locations

1201 New Rd
Ste 138
Linwood, NJ 08221
Phone (609) 813-2149

1747 Hooper Ave
Ste 8
Toms River, NJ 08753
Phone (732) 255-6777

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Tallwoods Care CenterBayville, NJ, CCN 315462 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Feb 1, 2015
Feb 1, 2015

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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.

Hospital & facility affiliations 19

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188518400000",
    "number": "1669478483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2290 W COUNTY LINE RD",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085272267",
            "telephone_number": "732-942-4455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 NEW HAMPSHIRE AVE",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087014509",
            "telephone_number": "732-901-6400",
            "fax_number": "732-901-0744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAUVIN",
        "first_name": "LESLIE",
        "middle_name": "RICHARD",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2007-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MB06672100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7690207",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, NJ

Sources for this page

Verify at the official NPI Registry.