MEDICARE: DR. JANIS JEAN LEINFUSS OTD

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	225XP0200X	Pediatric Occupational Therapist	46TR00130400	NJ

General Provider Information

NPI Number	:	1932703485
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JANIS JEAN LEINFUSS OTD

Provider Business Mailing Address
First Line	:	7 MAPLE ST
Second Line	:
City	:	MORRIS PLAINS
State	:	NJ
Zip	:	07950-3224
Country	:	US
Telephone Number	:	201-563-2773
Fax Number	:

Provider Business Practice Location Address
First Line	:	21 PINE ST
Second Line	:
City	:	ROCKAWAY
State	:	NJ
Zip	:	07866-3130
Country	:	US
Telephone Number	:	973-586-8396
Fax Number	:

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

Provider Enumeration Date	:	11/25/2020
Last Update Date	:	11/10/2025

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