Nicole Leo, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25MB07318600 Issued in NJ

Practice address

4 W Roosevelt Blvd Ste 11&12
Marmora, NJ 08223-1441

Phone

(609) 814-9550

Fax

(609) 390-3511

NPI assigned

Jun 5, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Shore Memorial Physicians Group PCGroup PAC ID 4688845191, 25 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cape Regional Home Health Care, LLC Home health agency, Cape May Court House, NJ, CCN 317012
• Shore Medical Center Hospital, Somers Point, NJ, CCN 310047
• Cape Regional Medical Center Inc Hospital, Cape May Court House, NJ, CCN 310011

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/4024/brand/1/csg/22/fhir/r4
• Direct secure messaging: nicole.leo.1@4024.direct.athenahealth.com

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.

• Shore Memorial Physicians Group PC

  • Family Medicine Physician
  • Somers Point, NJ
  • NPI 1518252873
  Medicare reassignment Care Compare group NPD
• University Urogynecology Association, PC

  • Obstetrics & Gynecology Physician
  • Voorhees, NJ
  • NPI 1255352423
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Cooper University Hospital Cape Regional Inc

  • General Acute Care Hospital
  • Cape May Court House, NJ
  • NPI 1053382697
  Care Compare affiliation
• County of Cape May

  dba Cape May County Health Department

  • Physical Therapy Clinic/Center
  • Cape May Court House, NJ
  • NPI 1962484659

  Home health agency

  Care Compare affiliation
• Shore Memorial Hospital

  • General Acute Care Hospital
  • Somers Point, NJ
  • NPI 1629070149
  Care Compare affiliation

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1952340077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 W ROOSEVELT BLVD STE 11&12",
            "city": "MARMORA",
            "state": "NJ",
            "postal_code": "082231441",
            "telephone_number": "609-390-0882",
            "fax_number": "609-390-3511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 W ROOSEVELT BLVD STE 11&12",
            "city": "MARMORA",
            "state": "NJ",
            "postal_code": "082231441",
            "telephone_number": "609-814-9550",
            "fax_number": "609-390-3511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEO",
        "first_name": "NICOLE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-05",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB07318600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0324248",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Justin Michael Kulp, PT
• Beatriz Lara
• Legacy Treatment Services, Inc
• Legacy Treatment Services, Inc.
• Kathryn Lego Wilkin, RN,APN,C
• Living Fit Center,LLC
• Daniel G Loggi Jr., DMD
• Meraris Lopez
• Sharon J Manupello, OTR
• Marmora Family Dental Associates, PC

• Family Medicine Physician in Marmora, NJ
• Providers in Marmora, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.