Individual provider Active NPI

Leslie Berger, APN

  • Primary Care Nurse Practitioner
  • Freehold, NJ
National Provider Identifier
1740789049
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
26NJ00771600 Issued in NJ
Practice address
901 West Main Street
Ambulatory Campus Suite 100
Freehold, NJ 07728
Phone
(732) 294-2574
Fax
(732) 294-2575
NPI assigned
Feb 2, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 26NJ00771600 NJ Primary

Addresses

Primary practice location

901 West Main Street
Ambulatory Campus Suite 100
Freehold, NJ 07728

Mailing address

901 West Main Street
Ambulatory Campus Suite 100
Freehold, NJ 07728
Phone (732) 294-2574

Other identifiers 1

IdentifierTypeStateIssuer
4141008MedicaidNJ

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
I20180605001409 NJ Practitioner - Nurse Practitioner 4880959295 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
VPS Medical Services, PCGroup PAC ID 2961836069, 45 clinicians

Practice addresses (Care Compare)

3600 State Route 66
Neptune, NJ 07753-2645

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ00771600NJMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Health Care Associates of New Jersey, P.C. CurrentSince Jun 18, 2018 Accepting new patients
Deborah Cardiovascular Group, P.C. CurrentSince Apr 1, 2019 Accepting new patients
VPS Medical Services, PC CurrentSince Feb 3, 2025 Accepting new patients
Centrastate Medical Center Inc. CurrentSince Jun 11, 2021 Accepting new patients
Clinical Health Care Associates of New Jersey, PC CurrentSince Jun 18, 2018 Accepting new patients
Centrastate Medical Center, Inc CurrentSince Jun 11, 2021 Accepting new patients
Centrastate Specialists, P.C. Past Accepting new patients

Locations

200 Trenton Rd
Browns Mills, NJ 08015
Phone (609) 893-1200

1865 Route 70 E
Ste 210
Cherry Hill, NJ 08003
Phone (856) 427-4336

901 W Main St
Freehold, NJ 07728
Phone (732) 294-2666

901 W Main St
Ste 100
Freehold, NJ 07728
Phone (732) 637-6388

3600 State Route 66
Fl 4
Tinton Falls, NJ 07753
Phone (732) 241-4194

1006 Mantua Pike
Spc Care
Woodbury, NJ 08097
Phone (856) 845-8600

1006 Mantua Pike
Woodbury Hts, NJ 08097
Phone (856) 845-6880

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11366/brand/2/csg/1/fhir/r4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: leslie.berger.p2@direct.vnahg.nextgenshare.com

Organizations & group practices 7

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1517529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1740789049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 WEST MAIN STREET",
            "address_2": "AMBULATORY CAMPUS SUITE 100",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "07728",
            "telephone_number": "732-294-2574",
            "fax_number": "732-294-2575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 WEST MAIN STREET",
            "address_2": "AMBULATORY CAMPUS SUITE 100",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "07728",
            "telephone_number": "732-294-2574",
            "fax_number": "732-294-2575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGER",
        "first_name": "LESLIE",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-02",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NJ",
            "license": "26NJ00771600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4141008",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

Verify at the official NPI Registry.