1821356411 NPI number — LEIGH NELSON-LANE MD

Table of content: LEIGH NELSON-LANE MD (NPI 1821356411)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1821356411 NPI number — LEIGH NELSON-LANE MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
NELSON-LANE
Provider First Name:
LEIGH
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

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:
1821356411
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/20/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5 PINTER LN
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MONMOUTH JUNCTION
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08852-3100
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
201-953-3571
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
750 BRUNSWICK AVENUE
Provider Second Line Business Practice Location Address:
4TH FLOOR ANESTHESIA OFFICE
Provider Business Practice Location Address City Name:
TRENTON
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08638
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
609-815-2767
Provider Business Practice Location Address Fax Number:
609-815-7502
Provider Enumeration Date:
05/02/2012

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: 207L00000X , with the licence number:  25MA09079700 , 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: 0296368 , issued by the state of ( NJ ) . This identifiers is of the category "MEDICAID".




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