Leonard Frank Anderson V, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

22DI02984100 Issued in NJ

Practice address

115 Christopher Columbus Dr
Jersey City, NJ 07302-5526

Phone

(201) 451-6300

NPI assigned

Jun 26, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/ECHFAA

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.

• Alliance Community Healthcare, Inc.

  • Federally Qualified Health Center (FQHC)
  • Jersey City, NJ
  • NPI 1285662684
  Medicare reassignment NPD
• Alliance Community Healthcare, Inc.

  • Federally Qualified Health Center (FQHC)
  • Wyomissing, PA
  • NPI 1053887927
  NPD (past)

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

{
    "created_epoch": "1687737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1265118012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 CHRISTOPHER COLUMBUS DR STE 100",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073023551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 CHRISTOPHER COLUMBUS DR",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073025526",
            "telephone_number": "201-451-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "LEONARD",
        "middle_name": "FRANK",
        "name_suffix": "V",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-26",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02984100",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN28096",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Priscilla Amponsah, DPT
• Shaindel Amsel, PA
• Daniel Amuso, PA-C
• Balqees Anaam
• Ishdeep Anand, DMD
• Vivian Andrade, LSW
• Nicholas Thomas Andriani, DO
• Angel'S Care for Seniors
• Angelacares, Inc.
• Angeles L Luchayco MD PC

• Dentist in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.