Active NPI
Leroy Strom, MD
- Endocrinology, Diabetes & Metabolism Physician
- Englewood, NJ
National Provider Identifier
1205859634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 25MA02081000
- Practice address
- 221 Brinckerhoff CT
Englewood, NJ 07631-3102 - Phone
- (201) 568-3007
- NPI assigned
- Jul 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25MA02081000 | NJ | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 25MA02081000 | NJ | Primary |
Addresses
Primary practice location
221 Brinckerhoff CT
Englewood, NJ 07631-3102
Mailing address
221 Brinckerhoff CT
Englewood, NJ 07631-3102
Phone (201) 568-3007
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA02081000 | NJ | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Englewood Medical Associates Inc | Past | Accepting new patients | |
| Northern Valley Anesthesiology, P.a. | Past | Accepting new patients | |
| Englewood Medical Associates, Inc | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Englewood, NJ
- NPI 1447392162
-
- Family Medicine Physician
- Englewood, NJ
- NPI 1447389499
Internal Medicine
-
- Anesthesiology Physician
- Englewood, NJ
- NPI 1245289487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344470400000",
"number": "1205859634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 BRINCKERHOFF CT",
"city": "ENGLEWOOD",
"state": "NJ",
"postal_code": "076313102",
"telephone_number": "201-568-3007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 BRINCKERHOFF CT",
"city": "ENGLEWOOD",
"state": "NJ",
"postal_code": "076313102",
"telephone_number": "201-568-3007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STROM",
"first_name": "LEROY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2012-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA02081000",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "NJ",
"license": "25MA02081000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Englewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.