Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cresencia E Leopold, ANP

Individual provider Gerontology Nurse Practitioner · NPI 1225642200

Cresencia E Leopold, ANP is a Nurse Practitioner in Newark, New Jersey. Qualified in 2019, 7 years ago. Practices as a sole proprietor. Licensed in New Jersey.

Years since qualifying
7
Licensed in
NJ
In the registry since
2020

Practice location Address checks out

201 Lyons Ave
Newark, NJ 07112-2027
Phone: (973) 868-2983
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 26NJ01026300 (NJ)

Record details

NPI number1225642200
Entity typeIndividual (Type 1)
GenderFemale
Credentials ANP
Sole proprietorYes
NPI enumeratedSeptember 7, 2020
Last updated in NPPESSeptember 7, 2020
Certification dateSeptember 7, 2020
Mailing address201 Lyons Ave, Newark, NJ 07112-2027

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated

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