MEDICARE: DR. MILA A LEONG M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2080P0214X	Pediatric Pulmonology Physician	25MB05969300	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1203597003	OTHER	NJ	CIGNA
2	5591219	OTHER	NJ	AETNA PPO
3	722082	OTHER	NJ	AMERIHEALTH ADMINISTRATOR
4	01000713800	OTHER	NJ	AMERICHOICE
5	2K4836	OTHER	NJ	HEALTH NET
6	39150	OTHER	NJ	UNIVERSITY HEALTH PLANS
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	22415	OTHER	NJ	AMERIGROUP
9	P3418596	OTHER	NJ	OXFORD HEALTH PLANS
10	5271880	OTHER	NJ	FIRST HEALTH
11	0266373000	OTHER	NJ	AMERIHEALTH
12	3694556	OTHER	NJ	AETNA HMO
13	60009926	OTHER	NJ	HORIZON NEW JERSEY HEALTH

General Provider Information

NPI Number	:	1598701971
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MILA A LEONG M.D.

Provider Business Mailing Address
First Line	:	1750 ZION RD
Second Line	:	SUITE 107
City	:	NORTHFIELD
State	:	NJ
Zip	:	08225-1844
Country	:	US
Telephone Number	:	609-677-4566
Fax Number	:	609-677-6080

Provider Business Practice Location Address
First Line	:	1750 ZION RD
Second Line	:	SUITE 107
City	:	NORTHFIELD
State	:	NJ
Zip	:	08225-1844
Country	:	US
Telephone Number	:	609-677-4566
Fax Number	:	609-677-6080

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2006
Last Update Date	:	07/08/2007

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