Healthcare Provider Details

I. General information

NPI: 1215334461
Provider Name (Legal Business Name): MATTHEW LEFFEL D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/03/2014
Last Update Date: 09/16/2025
Certification Date: 09/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

90 MAIN ST STE 308
HACKENSACK NJ
07601-7128
US

IV. Provider business mailing address

90 MAIN ST STE 308
HACKENSACK NJ
07601-7128
US

V. Phone/Fax

Practice location:
  • Phone: 201-646-2500
  • Fax: 201-646-2006
Mailing address:
  • Phone: 201-646-2500
  • Fax: 201-646-2006

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number70012740
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number38MC00720000
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number38MC00720000
License Number StateNJ

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: