Physician Compare National (NPI:1649249582)

HEALTHCARE PROVIDER: TONEL LEIBU M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1649249582
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5991797730
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110615000041
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	LEIBU
	Individual professional last name
Provider First Name	TONEL
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1984
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	HUMC MEDICAL OBSERVATION
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	8729104021
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	4
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	30 PROSPECT AVE
	Group Practice or individual's line 1 address
City	HACKENSACK
	Group Practice or individual's city
State	NJ
	Group Practice or individual's state
Zip Code	076011915
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5519963547
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	310012
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	VALLEY HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	310001
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	HACKENSACK UNIVERSITY MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	310008
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	HOLY NAME MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y