1184603227 NPI number — LEONARD L SANDLER M.D.

Table of content: LEONARD L SANDLER M.D. (NPI 1184603227)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1184603227 NPI number — LEONARD L SANDLER M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SANDLER
Provider First Name:
LEONARD
Provider Middle Name:
L
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1184603227
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/22/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
35 BEAVERSON BLVD STE 8C
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BRICK
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08723-7861
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
732-262-4262
Provider Business Mailing Address Fax Number:
732-262-4317

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
35 BEAVERSON BLVD STE 8C
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BRICK
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08723-7861
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
732-262-4262
Provider Business Practice Location Address Fax Number:
732-262-4319
Provider Enumeration Date:
01/16/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207UN0901X , with the licence number:  MA07733800 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RC0000X , with the licence number: 25MA07733800 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0007759198 . This is a "AETNA" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 223247181 . This is a "HORIZON BCBS" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 2422892000 . This is a "AMERIHEALTH" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 2K6617 . This is a "HEALTHNET" identifier . This identifiers is of the category "OTHER".
  • Identifier: 624Q31 . This is a "EMPIRE BLUE CROSS" identifier . This identifiers is of the category "OTHER".
  • Identifier: P00181530 . This is a "RAILROAD MEDICARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 3631459 . This is a "AETNA HMO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2062486 . This is a "UNITED HEALTHCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 223247181 . This is a "CHN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 223247181009 . This is a "QUALCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 40152 . This is a "UNIVERSITY HEALTH PLAN" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 8221304 . This is a "GHI" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0047571 , issued by the state of ( NJ ) . This identifiers is of the category "MEDICAID".
  • Identifier: P3441630 . This is a "OXFORD" identifier . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com