NPI Code Detail JSON Logo

1679635205 NPI number — ALDEN LEIFER, MD. PC

NPI Number: 1679635205
Health Care Provider/Practitioner: ALDEN LEIFER, MD. PC

Information about “1679635205” NPI (ALDEN LEIFER, MD. PC) exists in 1679635205 in HTML format HTML  |  1679635205 in plain Text format TXT  |  1679635205 in PDF (Portable Document Format) PDF  |  1679635205 in an XML format XML  formats.

NPI Number : 1679635205 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1679635205",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "ALDEN LEIFER, MD. PC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "680 BROADWAY",
    "SecondLineMailingAddress": "SUITE 114",
    "MailingAddressCityName": "PATERSON",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "07514",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "973-742-4747",
    "MailingAddressFaxNumber": "973-742-0629",
    "FirstLinePracticeLocationAddress": "680 BROADWAY STE 114",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PATERSON",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "07514-1526",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "973-742-4747",
    "PracticeLocationAddressFaxNumber": "973-742-0629",
    "EnumerationDate": "12/13/2006",
    "LastUpdateDate": "07/21/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "LEIFER",
    "AuthorizedOfficialFirstName": "ALDEN",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "M.D.",
    "AuthorizedOfficialTelephoneNumber": "973-742-4747",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "332H00000X",
          "TaxonomyName": "Eyewear Supplier",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261QM2500X",
          "TaxonomyName": "Medical Specialty Clinic/Center",
          "LicenseNumber": "MA46643",
          "LicenseNumberStateCode": "NJ",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.