Mahwah Medical

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MB42681 Issued in NJ

Legal business name

MAHWAH MEDICAL

Practice address

10 Franklin Tpke
Mahwah, NJ 07430-1304

Phone

(201) 529-0033

Fax

(201) 529-5913

NPI assigned

Mar 7, 2008

Last updated

Sep 9, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Glenn R Leslie, DONPI 1285712950

Title

President

Phone

(201) 529-0033

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Glenn R Leslie, D.O.

  • Internal Medicine Physician
  • Mahwah, NJ
  • NPI 1285712950
  Authorized official Same address or phone

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

{
    "created_epoch": "1204848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252454400000",
    "number": "1366612178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 FRANKLIN TPKE",
            "city": "MAHWAH",
            "state": "NJ",
            "postal_code": "074301304",
            "telephone_number": "201-529-0033",
            "fax_number": "201-529-5913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 FRANKLIN TPKE",
            "city": "MAHWAH",
            "state": "NJ",
            "postal_code": "074301304",
            "telephone_number": "201-529-0033",
            "fax_number": "201-529-5913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHWAH MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-07",
        "last_updated": "2009-09-09",
        "status": "A",
        "authorized_official_last_name": "LESLIE",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-529-0033",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MB42681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maa Medical Associates LLC
• Mahwah ASC LLC
• Mahwah Board of Education
• Mahwah Health Services (Mahwah Physical therapy)
• Mahwah Health Services, LLC (mahwah physical therapy)
• Mahwah Radiology Associates
• Mahwah Valley Orthopedic Associates
• Lynn Manea, LCSW
• Patsy M Manganello, PHARMACIST
• Martab Physicians and Hospital Supply Co (Martab Medical)

• Internal Medicine Physician in Mahwah, NJ
• Providers in Mahwah, 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 Sep 9, 2009; 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.