Healthcare Provider Details

I. General information

NPI: 1013717560
Provider Name (Legal Business Name): FLAGLER MEDICAL OF NEW JERSEY PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2025
Last Update Date: 06/23/2025
Certification Date: 05/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

56 LEONARD ST APT 14BW
NEW YORK NY
10013-3277
US

IV. Provider business mailing address

56 LEONARD ST APT 14BW
NEW YORK NY
10013-3277
US

V. Phone/Fax

Practice location:
  • Phone: 305-915-2552
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. LEON ANIJAR
Title or Position: PRESIDENT
Credential: MD
Phone: 954-599-9023