Leap Health and Wellness Center

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

25MA06603200 Issued in NJ

Legal business name

LEAP HEALTH AND WELLNESS CENTER

Practice address

130 N Broadway
10TH Floor
Camden, NJ 08102-1122

Phone

(856) 614-5610

Fax

(856) 614-3236

NPI assigned

Apr 4, 2014

Organization subpart

Yes

Parent organization

LEAP ACADEMY UNIVERSITY CHARTER SCHOOL, INC.As reported in NPPES

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

Authorized official

Name

Mr. Manuel Delgado

Title

Coo

Phone

(856) 614-3234

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Leap Health and Wellness Center

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Leap Academy University Charter School

  • Local Education Agency (LEA)
  • Camden, NJ
  • NPI 1841539236
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Velmina S Rivera, MD

  • Pediatric Adolescent Medicine Physician
  • Camden, NJ
  • NPI 1235120213
  NPD (past)

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

{
    "created_epoch": "1396569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474588800000",
    "number": "1912325077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 N BROADWAY",
            "address_2": "11TH FLOOR",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081021122",
            "telephone_number": "856-614-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 N BROADWAY",
            "address_2": "10TH FLOOR",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081021122",
            "telephone_number": "856-614-5610",
            "fax_number": "856-614-3236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEAP HEALTH AND WELLNESS CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LEAP ACADEMY UNIVERSITY CHARTER SCHOOL, INC.",
        "enumeration_date": "2014-04-04",
        "last_updated": "2016-09-23",
        "status": "A",
        "authorized_official_last_name": "DELGADO",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "856-614-3234",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NJ",
            "license": "25MA06603200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Lawrence, LPC, LCADC,
• Ian Lawrence, MS, CCC-SLP
• Kaitlin K Lazar, CRNP
• Kyle Nguyen Le, MD
• Leap Academy University Charter School
• Judith M Leary, APN
• Marley Lebon, PA
• Joseph Lebovic, OD
• Veronica Ledvin, MD
• Melody Hope Lim Lee Yu, MD, MBA

• Primary Care Clinic/Center in Camden, NJ
• Providers in Camden, NJ by specialty
• Primary Care Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.