MEDICARE: ALDEN LEIFER MD

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	207W00000X	Ophthalmology Physician	MA46643	NJ

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	058625	OTHER	NJ	MEDICARE PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1093740375
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALDEN LEIFER MD

Provider Business Mailing Address
First Line	:	680 BROADWAY
Second Line	:	SUITE 114
City	:	PATERSON
State	:	NJ
Zip	:	07514-1422
Country	:	US
Telephone Number	:	973-742-4747
Fax Number	:	973-742-0629

Provider Business Practice Location Address
First Line	:	680 BROADWAY
Second Line	:	SUITE 114
City	:	PATERSON
State	:	NJ
Zip	:	07514-1422
Country	:	US
Telephone Number	:	973-742-4747
Fax Number	:	973-742-0629

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

Provider Enumeration Date	:	07/12/2006
Last Update Date	:	03/07/2017

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Directions to “ ALDEN LEIFER MD” Practice Location

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