Individual provider Active NPI

Elena Leontieva, FNP

  • Family Nurse Practitioner
  • Highlands, NJ
National Provider Identifier
1770883266
Registry record updated Oct 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00307000 Issued in NJ
Practice address
11 Prospect St
Highlands, NJ 07732-1823
Phone
(732) 872-9510
NPI assigned
Oct 29, 2010
Last updated
Oct 29, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2010

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 26NJ00307000 NJ Primary

Addresses

Primary practice location

11 Prospect St
Highlands, NJ 07732-1823

Mailing address

11 Prospect St
Highlands, NJ 07732-1823
Phone (732) 872-9510

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
I20121026000531 NJ Practitioner - Nurse Practitioner 7113177130 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MVP Medical Associates II LLCGroup PAC ID 9234586744, 20 clinicians
Rwjbh Emergency Medicine Associates, LLCGroup PAC ID 0941612840, 826 clinicians
Malek Medical PCGroup PAC ID 6103858824, 2 clinicians

Practice addresses (Care Compare)

1803 Hwy 35
Oakhurst, NJ 07755-2974
Phone (732) 531-0100

225 Williamson St
Elizabeth, NJ 07202-3625
Phone (908) 994-5422

232 Norwood Ave
West Long Branch, NJ 07764-1859
Phone (732) 222-6637

300 2ND Ave
Long Branch, NJ 07740-6303
Phone (732) 222-5200

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Malek Medical PC CurrentSince Mar 1, 2017 Accepting new patients
MVP Medical Associates, PA CurrentSince Sep 12, 2012 Accepting new patients
MVP Medical Associates II LLC CurrentSince Nov 19, 2023 Accepting new patients
Rwjbh Emergency Medicine Associates, LLC Family CurrentSince Nov 30, 2020 Accepting new patients
MVP Medical Associates, PA CurrentSince Sep 12, 2012 Accepting new patients

Locations

200 Wyckoff Rd
Ste 1500
Eatontown, NJ 07724
Phone (732) 380-5456

225 Williamson St
Elizabeth, NJ 07202
Phone (908) 994-5204

201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455

201 Lyons Ave
#M
Newark, NJ 07112
Phone (800) 843-2384

1803 State Route 35
Oakhurst, NJ 07755
Phone (732) 695-3668

1980 US Highway 9
Ste 100
Old Bridge, NJ 08857
Phone (732) 965-6000

1851 Hooper Ave
Ste B
Toms River, NJ 08753
Phone (732) 255-2001

1851 Hooper Ave
Ste B1
Toms River, NJ 08753
Phone (732) 255-2001

1 Hamilton Health Pl
Trenton, NJ 08690
Phone (609) 584-6763

232 Norwood Ave
West Long Branch, NJ 07764
Phone (732) 222-4694

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IAACBD

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 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": "1288310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288310400000",
    "number": "1770883266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 PROSPECT ST",
            "city": "HIGHLANDS",
            "state": "NJ",
            "postal_code": "077321823",
            "telephone_number": "732-872-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 PROSPECT ST",
            "city": "HIGHLANDS",
            "state": "NJ",
            "postal_code": "077321823",
            "telephone_number": "732-872-9510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONTIEVA",
        "first_name": "ELENA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-29",
        "last_updated": "2010-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00307000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highlands, NJ

Sources for this page

Verify at the official NPI Registry.