Active NPI
Branford Medical Group, PC
- Urology Physician
- Newark, NJ
National Provider Identifier
1255613576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 25MA03698400
- Legal business name
- BRANFORD MEDICAL GROUP, PC
- Practice address
- 23 Branford PL
Newark, NJ 07102-2711 - Phone
- (973) 424-0080
- Fax
- (973) 424-0088
- NPI assigned
- Sep 13, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jose Florante J. Leyson, MD
- Title
- Director
- Phone
- (973) 424-0080
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 25MA03698400 | NJ | Primary |
Addresses
Primary practice location
23 Branford PL
Newark, NJ 07102-2711
Mailing address
23 Branford PL
Newark, NJ 07102-2711
Phone (973) 424-0080
Other names 1
- BRANFORD MEDICAL CENTER
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315872000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1317254400000",
"number": "1255613576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 BRANFORD PL",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071022711",
"telephone_number": "973-424-0080",
"fax_number": "973-424-0088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 BRANFORD PL",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071022711",
"telephone_number": "973-424-0080",
"fax_number": "973-424-0088"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRANFORD MEDICAL GROUP, PC",
"organizational_subpart": "NO",
"enumeration_date": "2011-09-13",
"last_updated": "2011-09-29",
"status": "A",
"authorized_official_last_name": "LEYSON",
"authorized_official_first_name": "JOSE",
"authorized_official_middle_name": "FLORANTE J.",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "973-424-0080",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Urology",
"state": "NJ",
"license": "25MA03698400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "BRANFORD MEDICAL CENTER",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.