Individual provider Active NPI

Mark Leonard Lehrman, MD

  • Internal Medicine Physician
  • Fair Lawn, NJ
National Provider Identifier
1306809090
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Practice address
1501 Broadway
Suite 32
Fair Lawn, NJ 07410-6026
Phone
(201) 791-6434
Fax
(201) 791-6446
NPI assigned
Apr 11, 2006
Sex
Male
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
Internal Medicine Physician 207R00000X NJ Primary

Addresses

Primary practice location

1501 Broadway
Suite 32
Fair Lawn, NJ 07410-6026

Mailing address

1501 Broadway
Suite 32
Fair Lawn, NJ 07410-6026
Phone (201) 791-6434

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050202000783 NJ Practitioner - Internal Medicine 6901857374 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15 -01 Broadway
Suite 32
Fair Lawn, NJ 07410-6026
Phone (201) 791-6434

Hospital & facility affiliations

  • Valley Home Care Inc. Home health agency, Paramus, NJ, CCN 317008
  • Valley Hospital Hospital, Paramus, NJ, CCN 310012

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MAO3137700NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Imedical Associates, LLC Internal Medicine CurrentSince Feb 24, 2013 Accepting new patients

Locations

15-01 Broadway
Ste 32
Fair Lawn, NJ 07410
Phone (201) 791-6434

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306809090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 BROADWAY",
            "address_2": "SUITE 32",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074106026",
            "telephone_number": "201-791-6434",
            "fax_number": "201-791-6446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 BROADWAY",
            "address_2": "SUITE 32",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074106026",
            "telephone_number": "201-791-6434",
            "fax_number": "201-791-6446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEHRMAN",
        "first_name": "MARK",
        "middle_name": "LEONARD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Lawn, NJ

Sources for this page

Verify at the official NPI Registry.