Individual provider Active NPI

Abraham D Leiser, NP

  • Nurse Practitioner
  • Lakewood, NJ
National Provider Identifier
1861162695
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
348446 Issued in NY
Practice address
187 Enclave Blvd
Lakewood, NJ 08701-5787
Phone
(347) 201-2747
NPI assigned
Sep 14, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 348446 NY Primary

Addresses

Primary practice location

187 Enclave Blvd
Lakewood, NJ 08701-5787

Mailing address

7 Doolin Rd
New City, NY 10956-1345
Phone (347) 201-2747

Other practice location 1

7 Doolin Rd
New City, NY 10956-1345
Phone (347) 201-2747

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: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211129001406 NY Practitioner - Nurse Practitioner 9032509443 Reassigns benefits to 1 organization
I20240404003706 NJ Practitioner - Nurse Practitioner 9032509443

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ord Physiatry PCGroup PAC ID 1355232026, 3 clinicians

Practice addresses (Care Compare)

873 Route 45
Suite 102
New City, NY 10956-1123
Phone (845) 521-1542

Merit-based Incentive Payment System (MIPS)

Final score
83.22 of 100Reported as group
Quality
60.82
Improvement activities
40
Cost
62.96

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ladmdsllc Nurse Practitioner CurrentSince May 19, 2024 Accepting new patients
Ord Physiatry, PC CurrentSince Aug 9, 2022 Accepting new patients

Locations

300 Central Ave
East Orange, NJ 07018
Phone (973) 266-8460

873 Route 45
Ste 102
New City, NY 10956
Phone (845) 354-7779

37 S Mesier Ave
Wappingers Fl, NY 12590
Phone (718) 697-7523

Interoperability endpoints

  • Direct secure messaging: abrahamleiser@cmdci.allscriptsdirect.net
  • Direct secure messaging: aleiser@hiemail.healtheconnections.org

Organizations & group practices 2

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": "1631577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1861162695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 DOOLIN RD",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109561345",
            "telephone_number": "347-201-2747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 ENCLAVE BLVD",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015787",
            "telephone_number": "347-201-2747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 Doolin Rd",
            "address_purpose": "LOCATION",
            "city": "New City",
            "state": "NY",
            "postal_code": "109561345",
            "country_code": "US",
            "telephone_number": "347-201-2747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEISER",
        "first_name": "ABRAHAM",
        "middle_name": "D",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-14",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "348446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, NJ

Sources for this page

Verify at the official NPI Registry.