Individual provider Active NPI

Evelyn N Lekunze

  • Family Nurse Practitioner
  • Orange, NJ
National Provider Identifier
1942932959
Registry record updated Jul 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ01315100 Issued in NJ
Practice address
547 Langdon St
Orange, NJ 07050-1203
Phone
(201) 349-2926
NPI assigned
Jun 28, 2022
Last updated
Jul 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2022

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 26NJ01315100 NJ Primary

Addresses

Primary practice location

547 Langdon St
Orange, NJ 07050-1203

Mailing address

PO Box 468
Montclair, NJ 07042-0468
Phone (201) 349-2926

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
I20220809000546 NJ Practitioner - Nurse Practitioner 2466834387 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Newark Community Health Centers, Inc CurrentSince Aug 1, 2022 Accepting new patients
Newark Community Health Centers, Inc. CurrentSince Aug 1, 2022 Accepting new patients
Newark Beth Israel Medical Center Inc Past Accepting new patients
Newark Community Health Centers Inc Past Accepting new patients

Locations

1150 Springfield Ave
Irvington, NJ 07111
Phone (973) 399-6292

741 Broadway
Newark, NJ 07104
Phone (973) 483-1300

Interoperability endpoints

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

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1656374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657238400000",
    "number": "1942932959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 468",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070420468",
            "telephone_number": "201-349-2926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "547 LANGDON ST",
            "city": "ORANGE",
            "state": "NJ",
            "postal_code": "070501203",
            "telephone_number": "201-349-2926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEKUNZE",
        "first_name": "EVELYN",
        "middle_name": "N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-28",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01315100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, NJ

Sources for this page

Verify at the official NPI Registry.