Organization Active NPI

Branford Medical Group, PC

  • Urology Physician
  • Newark, NJ
National Provider Identifier
1255613576
Registry record updated Sep 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
25MA03698400 Issued in NJ
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

Updated by the provider on Sep 29, 2011

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)CodeLicenseStatePrimary
Urology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Other name

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.