Active NPI
Marla E Leen, DPM
- Podiatrist
- Mountain Lakes, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 1913
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
Practice addresses (Care Compare)
16 Pocono Rd
Suite 207
Denville, NJ 07834-2907
Phone (973) 625-9446
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 27 |
| Removal of skin lesions | 59 |
| Removal of nail tissue | 319 |
| Removal or shaving of skin growth | 163 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1913 | NJ | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Skybridge Healthcare Limited Liability Company | Current | 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.
-
- Primary Podiatric Medicine Podiatrist
- Bridgewater, NJ
- NPI 1124422431
NJ
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.