Organization Active NPI

Sanford Heights Pediatrics

  • Pediatrics Physician
  • Irvington, NJ
National Provider Identifier
1174648562
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MA43866 Issued in NJ
Legal business name
SANFORD HEIGHTS PEDIATRICS
Practice address
987 Sanford Ave
Irvington, NJ 07111-1444
Phone
(973) 374-1334
Fax
(973) 374-3082
NPI assigned
Mar 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Pierre R Leger, M.D.NPI 1366535270
Title
Owner
Phone
(973) 374-1334

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X MA43866 NJ Primary

Addresses

Primary practice location

987 Sanford Ave
Irvington, NJ 07111-1444

Mailing address

987 Sanford Ave
Irvington, NJ 07111-1444
Phone (973) 374-1334

Other identifiers 1

IdentifierTypeStateIssuer
0452203MedicaidNJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174648562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "987 SANFORD AVE",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "071111444",
            "telephone_number": "973-374-1334",
            "fax_number": "973-374-3082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "987 SANFORD AVE",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "071111444",
            "telephone_number": "973-374-1334",
            "fax_number": "973-374-3082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANFORD HEIGHTS PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEGER",
        "authorized_official_first_name": "PIERRE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-374-1334",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "MA43866",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0452203",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.