Individual provider Active NPI

Elysse Lerner, APN, FNP-BC

  • Family Nurse Practitioner
  • Lakewood, NJ
National Provider Identifier
1912373721
Registry record updated Aug 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00583600 Issued in NJ
Practice address
144 Coles Way
Lakewood, NJ 08701-4885
Phone
(845) 901-7289
NPI assigned
Aug 15, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2024

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 26NJ00583600 NJ Primary

Addresses

Primary practice location

144 Coles Way
Lakewood, NJ 08701-4885

Mailing address

144 Coles Way
Lakewood, NJ 08701-4885
Phone (845) 901-7289

Other names 1

  • Mrs. Elysse Kornbluth Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY, OH, PA, IN, VA6 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 6

Enrollment IDStateProvider typePAC IDDetails
I20170228000018 NJ Practitioner - Nurse Practitioner 3779867395 Reassigns benefits to 4 organizations
I20210408000247 NY Practitioner - Nurse Practitioner 3779867395 Reassigns benefits to 3 organizations
Practice locations: Bronx, NY
I20221010000929 OH Practitioner - Nurse Practitioner 3779867395 Reassigns benefits to 1 organization
I20250801000418 PA Practitioner - Nurse Practitioner 3779867395 Reassigns benefits to 1 organization
I20251222000389 IN Practitioner - Nurse Practitioner 3779867395 Reassigns benefits to 1 organization
I20260114003593 VA Practitioner - Nurse Practitioner 3779867395 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Woundworks LLCGroup PAC ID 2961894894, 2 clinicians
Ocean NP in Family Health PLLCGroup PAC ID 5395116115, 3 clinicians

Practice addresses (Care Compare)

144 Coles Way
Lakewood, NJ 08701-4885
Phone (845) 901-7289

29505 Detroit Rd
Westlake, OH 44145-1932
Phone (732) 806-7277

475 New Hempstead Rd
New City, NY 10956-1000
Phone (347) 829-6863

Hospital & facility affiliations

  • Revival Home Health Care Home health agency, Staten Island, NY, CCN 337299

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Woundworks LLC CurrentSince Oct 14, 2021 Accepting new patients
Ocean Wounds in LLC CurrentSince Nov 1, 2025 Accepting new patients
Patient First Medical Practice PC CurrentSince May 4, 2025 Accepting new patients
Ocean Wounds PA PLLC Family CurrentSince Jun 5, 2025 Accepting new patients
Ocean NP in Family Health PLLC Family CurrentSince Aug 30, 2022 Accepting new patients
Ocean County Internal Medicine Associates, PA CurrentSince Dec 27, 2016 Accepting new patients
Ocean Wounds VA PLLC CurrentSince Sep 22, 2025 Accepting new patients
Medical Director Services PC CurrentSince Feb 1, 2019 Accepting new patients
Precious Health of Lakewood, PC Past Accepting new patients

Locations

110 Beverly Dr
Chesterton, IN 46304
Phone (219) 613-2146

43 N White Horse Pike
Hammonton, NJ 08037
Phone (609) 567-3100

1352 River Ave
Lakewood, NJ 08701
Phone (732) 370-3383

4573 State Route 40
Argyle, NY 12809
Phone (518) 328-3605

3525 Baychester Ave
Bronx, NY 10466
Phone 71867063001740

50 Sheffield Ave
Brooklyn, NY 11207
Phone (718) 250-8789

1613 McDonald Ave
Brooklyn, NY 11230
Phone (718) 645-4433

1311 Virginia St
Far Rockaway, NY 11691
Phone (718) 327-2908

19544 Woodhull Ave
Jamaica, NY 11423
Phone (718) 336-2345

475 New Hempstead Rd
New City, NY 10956
Phone (347) 829-6863

29505 Detroit Rd
Westlake, OH 44145
Phone (440) 835-3004

1130 W Chester Pike
West Chester, PA 19382
Phone (215) 815-7500

200 W Constance Rd
Suffolk, VA 23434
Phone (347) 829-6863

Interoperability endpoints

  • Direct secure messaging: elysse.lerner@nealgittleman.chartmakerdirect.com

Organizations & group practices 9

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": "1439596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723248000000",
    "number": "1912373721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 COLES WAY",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087014885",
            "telephone_number": "845-901-7289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 COLES WAY",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087014885",
            "telephone_number": "845-901-7289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LERNER",
        "first_name": "ELYSSE",
        "credential": "APN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-15",
        "last_updated": "2024-08-10",
        "certification_date": "2024-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00583600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELYSSE",
            "last_name": "KORNBLUTH",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lakewood, NJ

Sources for this page

Verify at the official NPI Registry.