Individual provider Active NPI

Marla E Leen, DPM

  • Podiatrist
  • Mountain Lakes, NJ
National Provider Identifier
1275747669
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
1913 Issued in NJ
Practice address
21 Hillcrest Rd
Mountain Lakes, NJ 07046-1307
Phone
(973) 334-7772
Fax
(973) 263-1915
NPI assigned
May 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 1913 NJ Primary

Addresses

Primary practice location

21 Hillcrest Rd
Mountain Lakes, NJ 07046-1307

Mailing address

21 Hillcrest Rd
Mountain Lakes, NJ 07046-1307
Phone (973) 334-7772

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20050727000049 NJ Practitioner - Podiatry 6002843018 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Skybridge Healthcare Limited Liability CompanyGroup PAC ID 6901117084, 8 clinicians

Practice addresses (Care Compare)

16 Pocono Rd
Suite 207
Denville, NJ 07834-2907
Phone (973) 625-9446

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue27
Removal of skin lesions59
Removal of nail tissue319
Removal or shaving of skin growth163

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1913NJMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Skybridge Healthcare Limited Liability Company CurrentSince Sep 1, 2023 Accepting new patients

Locations

720 US Highway 202/206
Bridgewater, NJ 08807
Phone (908) 704-8778

16 Pocono Rd
Ste 207
Denville, NJ 07834
Phone (973) 586-9323

5 State Rt 94
Ste 3B
Vernon, NJ 07462
Phone (973) 300-2450

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275747669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 HILLCREST RD",
            "city": "MOUNTAIN LAKES",
            "state": "NJ",
            "postal_code": "070461307",
            "telephone_number": "973-334-7772",
            "fax_number": "973-263-1915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 HILLCREST RD",
            "city": "MOUNTAIN LAKES",
            "state": "NJ",
            "postal_code": "070461307",
            "telephone_number": "973-334-7772",
            "fax_number": "973-263-1915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEEN",
        "first_name": "MARLA",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "1913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain Lakes, NJ

Sources for this page

Verify at the official NPI Registry.