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VALENTINA LEFANTE
NPI 1083286629
Nurse Practitioner - Adult Health in Hazlet, NJ

Active since July 13, 2021PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating

NPPES record last updated: May 31, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 7, 2022, Jul 13, 2021 (2 updates tracked since 2021).

About Valentina Lefante NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VALENTINA LEFANTE (NPI 1083286629) is an individual adult health provider in Hazlet, New Jersey, licensed in New Jersey (26NJ0137800) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS, is affiliated with Riverview Medical Center, and maintains a secondary practice location in Holmdel.

NPPES Registry Identity

NPI1083286629
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameVALENTINA LEFANTE
Location Address972 HWY 36Hazlet, NJ 07730-1700
Mailing Address331 Newman Springs Rd Ste 220Red Bank, NJ 07701-5688
Phone(732) 847-3600
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 13, 2021
Last NPPES UpdateMay 31, 20242 updates tracked since enumeration
NPPES CertifiedMay 31, 2024
✔ NPI 1083286629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NJ · 26NJ0137800
Also ListedRegistered Nurse · Medical-SurgicalTaxonomy 163WM0705X · License 729511-01 (NY)
972 HWY 36, Hazlet, NJ 07730
Open in Google Maps ↗

Secondary Practice Location 1

Location 1999 Palmer AveHolmdel, NJ 07733-1087 · Phone (732) 671-3313

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Valentina Lefante is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2860881323
PECOS Enrollment IDI20221202000359
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Valentina Lefante reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hackensack Meridian Health Medical Group - Specialty Care PC
8.1 mi
Surgical Critical Care
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 2,844 clinicians in this Medicare group
NPI 1215989249 (732) 807-0800
New York University
1,015 mi
Cardiovascular Disease
3301 QUANTUM BLVD
Boynton Beach, FL 33426
  • Reassigned Medicare billing, New York enrollment
  • 7,712 clinicians in this Medicare group
NPI 1285826438 (877) 648-2964

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
164 services136 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
15 services13 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Riverview Medical Center

Acute Care Hospitals · Red Bank, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310034
LocationOne Riverview PlazaRed Bank, NJ 07701 · Monmouth County
Emergency services Birthing friendly

Jersey Shore University Medical Center

Acute Care Hospitals · Neptune, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310073
Location1945 State Route 33Neptune, NJ 07753 · Monmouth County
Emergency services Birthing friendly

Bayshore Medical Center

Acute Care Hospitals · Holmdel, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310112
Location727 N Beers StHolmdel, NJ 07733 · Monmouth County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07730 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Valentina Lefante's NPI number?

The NPI number for Valentina Lefante is 1083286629. It was assigned to this individual provider in the NPPES registry on July 13, 2021.

Where is Valentina Lefante located?

Valentina Lefante practices at 972 Hwy 36, Hazlet, NJ 07730. The listed phone number is (732) 847-3600.

What is Valentina Lefante's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Valentina Lefante enrolled in Medicare?

Yes. Valentina Lefante is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Valentina Lefante's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Valentina Lefante reassigns Medicare benefits to 2 organizations: Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ) and New York University (Boynton Beach, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Valentina Lefante's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Valentina Lefante accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Valentina Lefante as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Valentina Lefante affiliated with any hospitals?

According to CMS data, Valentina Lefante is affiliated with Riverview Medical Center, Jersey Shore University Medical Center and Bayshore Medical Center.

When was this NPI record last updated?

The NPPES record for Valentina Lefante was last updated on May 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.