DR. LENY MARLENIS RADA-BANAT M.D.
NPI 1598990236
Radiology - Diagnostic Radiology in Red Bank, NJ

Active since May 26, 2009PECOS EnrolledAccepts Medicare Assignment
93.71/100
CMS Quality Rating
1 RIVERVIEW PLZ, RED BANK, NJ 07701(732) 530-2305 Get Directions Write a Review

NPPES record last updated: February 25, 2015. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dr. Leny Marlenis Rada-banat M.d. NPPES

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

DR. LENY MARLENIS RADA-BANAT M.D. (NPI 1598990236) is an individual diagnostic radiology provider in Red Bank, New Jersey, licensed in New Jersey (25MA06036500) and active in the NPI registry since May 2009. She is enrolled in Medicare PECOS, is affiliated with Community Medical Center, and is a graduate of Other (1988).

NPPES Registry Identity

NPI1598990236
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameDR. LENY MARLENIS RADA-BANATCredential: M.D.
Location Address1 RIVERVIEW PLZRed Bank, NJ 07701-1864
Mailing Address1 Riverview PlzRed Bank, NJ 07701-1864 · (732) 530-2305
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateMay 26, 2009
Last NPPES UpdateFebruary 25, 2015
✔ NPI 1598990236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in NJ · 25MA06036500
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
1 RIVERVIEW PLZ, Red Bank, NJ 07701

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. Leny Marlenis Rada-banat M.d. 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 ID4284813817
PECOS Enrollment IDI20110127000838
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 9

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.

Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) G0279
Diagnostic digital breast tomosynthesis is a 3D imaging test that allows doctors to examine your breast tissue layer by layer. It's performed on one or both sides. It helps in detecting abnormalities more accurately. It's often done in addition to other tests.
212 services199 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
183 services183 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
183 services183 patients
Diagnostic mammography of 1 breast 77065
Diagnostic mammography of 1 breast is a detailed imaging test that allows doctors to closely examine a specific area in the breast. It's often used when a routine screening reveals an abnormality. This test can help identify any unusual changes or issues.
143 services131 patients
Limited ultrasound scan of 1 breast 76642
A limited ultrasound scan of one breast is a non-invasive imaging test. It uses sound waves to create pictures of the inside of your breast. It helps identify any unusual growths or changes. It's safe, quick, and typically painless.
137 services132 patients
Diagnostic mammography of both breasts 77066
Diagnostic mammography involves using special imaging technology to capture detailed images of both breasts. This procedure helps in identifying any unusual changes or abnormalities. It's a crucial step in ensuring breast health and early detection of potential issues.
81 services81 patients

Hospital Affiliations CMS Care Compare 3

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

Community Medical Center

Acute Care Hospitals · Toms River, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310041
Location99 Rt 37 WestToms River, NJ 08755 · Ocean County
Emergency services Birthing friendly

Monmouth Medical Center

Acute Care Hospitals · Long Branch, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310075
Location300 Second AvenueLong Branch, NJ 07740 · Monmouth County
Emergency services Birthing friendly

Monmouth Medical Center-Southern Campus

Acute Care Hospitals · Lakewood, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310084
Location600 River AveLakewood, NJ 08701 · Ocean County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07701 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
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
Most-billed visit code 99213
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.

93.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.79
Promoting Interoperability100
Improvement Activities40

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.

Social Worker
1 RIVERVIEW PLZ
RED BANK, NJ 07701
Nurse Practitioner (Family)
1 RIVERVIEW PLZ
RED BANK, NJ 07701
Pathology (Anatomic Pathology & Clinical Pathology)
1 RIVERVIEW PLZ
RED BANK, NJ 07701
Anesthesiology
1 RIVERVIEW PLZ
RED BANK, NJ 07701
Anesthesiology (Pain Medicine)
1 RIVERVIEW PLZ
RED BANK, NJ 07701
Emergency Medicine
1 RIVERVIEW PLZ
RED BANK, NJ 07701
General Acute Care Hospital
1 RIVERVIEW PLZ
RED BANK, NJ 07701
Family Medicine
1 RIVERVIEW PLZ
RED BANK, NJ 07701

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 Leny Rada-banat's NPI number?

The NPI number for Leny Rada-banat is 1598990236. It was assigned to this individual provider in the NPPES registry on May 26, 2009.

Where is Leny Rada-banat located?

Leny Rada-banat practices at 1 Riverview Plz, Red Bank, NJ 07701. The listed phone number is (732) 530-2305.

What is Leny Rada-banat's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Leny Rada-banat enrolled in Medicare?

Yes. Leny Rada-banat 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.

Is Leny Rada-banat affiliated with any hospitals?

According to CMS data, Leny Rada-banat is affiliated with Community Medical Center, Monmouth Medical Center and Monmouth Medical Center-Southern Campus.

When was this NPI record last updated?

The NPPES record for Leny Rada-banat was last updated on February 25, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.