Leonard Anthony Jokubaitis, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA04437100 Issued in NJ

Practice address

1125 Trenton Harbourton Rd
Titusville, NJ 08560-1504

Phone

(609) 730-3475

Fax

(609) 730-2104

NPI assigned

Nov 6, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1383696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383696000000",
    "number": "1295164507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 TRENTON HARBOURTON RD",
            "city": "TITUSVILLE",
            "state": "NJ",
            "postal_code": "085601504",
            "telephone_number": "609-730-3475",
            "fax_number": "609-730-2104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 TRENTON HARBOURTON RD",
            "city": "TITUSVILLE",
            "state": "NJ",
            "postal_code": "085601504",
            "telephone_number": "609-730-3475",
            "fax_number": "609-730-2104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOKUBAITIS",
        "first_name": "LEONARD",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-11-06",
        "last_updated": "2013-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA04437100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Titusville, NJ
• Providers in Titusville, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2013; 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.