Individual provider Active NPI

Leah G Webster, APN

  • Family Nurse Practitioner
  • Secaucus, NJ
National Provider Identifier
1861987000
Registry record updated Feb 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00824400 Issued in NJ
Practice address
714 10TH St
Secaucus, NJ 07094-2921
Phone
(201) 865-2050
NPI assigned
Jun 29, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F342483-1 NY
Family Nurse Practitioner 363LF0000X 26NJ00824400 NJ Primary

Addresses

Primary practice location

714 10TH St
Secaucus, NJ 07094-2921

Mailing address

41 Eastbourne Dr
Chestnut Ridge, NY 10977-6404
Phone (845) 694-8800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 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
I20181212001121 NJ Practitioner - Nurse Practitioner 6305180779 Reassigns benefits to 1 organization
I20220527001003 NY Practitioner - Nurse Practitioner 6305180779 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ00824400NJMDFamily Nurse Practitioner
F342483-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Refuah Health Center Inc CurrentSince Apr 1, 2022 Accepting new patients
Optum Medical Care of New Jersey PC CurrentSince Nov 1, 2018 Accepting new patients
Refuah Health Center, Inc. CurrentSince Apr 1, 2022 Accepting new patients
Optum Medical Care of New Jersey PC CurrentSince Nov 1, 2018 Accepting new patients
A.G. Dikengil, MD, PA Past Accepting new patients
Refuah Health Center, Inc. Past Accepting new patients

Locations

935 River Rd
Ste 301
Edgewater, NJ 07020
Phone (201) 471-7012

74 Oak St
Ridgewood, NJ 07450
Phone (201) 345-3688

714 10th St
Secaucus, NJ 07094
Phone (201) 863-3346

38 Meadowlands Pkwy
Ste 205
Secaucus, NJ 07094
Phone (201) 552-2357

3403 S Delsea Dr
Vineland, NJ 08360
Phone (856) 293-6974

728 N Main St
Ste C
New Square, NY 10977
Phone 84535493001826

728 N Main St
New Square, NY 10977
Phone (845) 354-9301

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Organizations & group practices 6

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": "1530230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612828800000",
    "number": "1861987000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 EASTBOURNE DR",
            "city": "CHESTNUT RIDGE",
            "state": "NY",
            "postal_code": "109776404",
            "telephone_number": "845-694-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 10TH ST",
            "city": "SECAUCUS",
            "state": "NJ",
            "postal_code": "070942921",
            "telephone_number": "201-865-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBSTER",
        "first_name": "LEAH",
        "middle_name": "G",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-29",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F342483-1",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00824400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Secaucus, NJ

Sources for this page

Verify at the official NPI Registry.