DR. ANTHONY H LEQUERICA PHD
NPI 1598884165
Clinical Neuropsychologist in West Orange, NJ

Active since March 28, 2007PECOS EnrolledAccepts Medicare Assignment
64.56/100
CMS Quality Rating
1199 PLEASANT VALLEY WAY, WEST ORANGE, NJ 07052(717) 972-1100(717) 975-9981 Get Directions Write a Review

NPPES record last updated: August 31, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Anthony H Lequerica Phd NPPES

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

DR. ANTHONY H LEQUERICA PHD (NPI 1598884165) is an individual clinical neuropsychologist in West Orange, New Jersey, licensed in New Jersey (TEMP) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and is a graduate of Wayne State University School Of Medicine (2004).

NPPES Registry Identity

NPI1598884165
Entity TypeIndividualMale
Primary Taxonomy103G00000X
Provider Legal NameDR. ANTHONY H LEQUERICACredential: PHD
Location Address1199 PLEASANT VALLEY WAYWest Orange, NJ 07052-1424
Mailing Address4714 Gettysburg Rd, Legal DepartmentMechanicsburg, PA 17055-4325 · (717) 972-1100 · Fax (717) 975-9981
Fax(717) 975-9981
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 2004
Enumeration DateMarch 28, 2007
Last NPPES UpdateAugust 31, 2010
NPI 1598884165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License Licensed in NJ · TEMP
Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

1199 PLEASANT VALLEY WAY, West Orange, NJ 07052

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Anthony H Lequerica Phd 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 ID9931285632
PECOS Enrollment IDI20080320000459
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.

Areas of Expertise CMS Part B claims 5

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.

Administration of psychological or neuropsychological test, each additional 30 minutes 96137
This procedure involves administering psychological or neuropsychological tests to evaluate your mental functions. Each additional 30 minutes allows for a more in-depth assessment of your cognitive abilities, emotions, and behavior. It's crucial for accurate diagnosis and treatment planning.
69 services11 patients
Evaluation of neuropsychological test, each additional hour 96133
This service involves further evaluation of your neuropsychological test results beyond the initial hour. It helps to understand your cognitive functioning better, focusing on areas like memory, attention, and problem-solving skills.
37 services11 patients
Exam of neurobehavioral status, first hour 96116
An exam of neurobehavioral status is a medical procedure that evaluates your brain's functions. This includes assessing your cognitive abilities, emotional responses, and behavioral patterns. The first hour of the exam is typically dedicated to this initial evaluation.
11 services11 patients
Evaluation of neuropsychological test, first hour 96132
An evaluation of neuropsychological tests is a process to assess your brain's function. It involves tasks designed to measure cognitive abilities such as memory, attention, problem-solving, and language skills. The first hour involves initial testing and observation.
11 services11 patients
Administration of psychological or neuropsychological test, first 30 minutes 96136
This procedure involves a health professional conducting a psychological or neuropsychological test. The first 30 minutes typically involve understanding your mental health or brain function through various assessments. This helps in diagnosing and treating mental health disorders effectively.
11 services11 patients

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.

64.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.63
Improvement Activities40
Cost26.39

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
1199 PLEASANT VALLEY WAY
WEST ORANGE, NJ 07052
Physical Therapist
1199 PLEASANT VALLEY WAY
WEST ORANGE, NJ 07052
Speech-Language Pathologist
1199 PLEASANT VALLEY WAY
WEST ORANGE, NJ 07052
Occupational Therapist
1199 PLEASANT VALLEY WAY
WEST ORANGE, NJ 07052
Physical Therapist
1199 PLEASANT VALLEY WAY
WEST ORANGE, NJ 07052
Registered Nurse
1199 PLEASANT VALLEY WAY
WEST ORANGE, NJ 07052
Physical Therapist
1199 PLEASANT VALLEY WAY
WEST ORANGE, NJ 07052
Occupational Therapist
1199 PLEASANT VALLEY WAY
WEST ORANGE, NJ 07052

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 Anthony Lequerica's NPI number?

The NPI number for Anthony Lequerica is 1598884165. It was assigned to this individual provider in the NPPES registry on March 28, 2007.

Where is Anthony Lequerica located?

Anthony Lequerica practices at 1199 Pleasant Valley Way, West Orange, NJ 07052. The listed phone number is (717) 972-1100.

What is Anthony Lequerica's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Anthony Lequerica enrolled in Medicare?

Yes. Anthony Lequerica 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.

What insurance does Anthony Lequerica accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Providence Health Plan list Anthony Lequerica 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.

When was this NPI record last updated?

The NPPES record for Anthony Lequerica was last updated on August 31, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.