Ledereich Family Ear, Nose and Throat

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

MA062691 Issued in NJ

Legal business name

LEDEREICH FAMILY EAR, NOSE AND THROAT

Practice address

1033 Clifton Ave
Suite 204
Clifton, NJ 07013-3517

Phone

(973) 470-8266

NPI assigned

Jan 31, 2007

Last updated

Jul 25, 2012By 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

Chani Ledereich

Title

Office Manager

Phone

(973) 470-8266

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 2

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.

• Philip Stanley Ledereich, MD

  • Otolaryngology/Facial Plastic Surgery Physician
  • Clifton, NJ
  • NPI 1881697373
  Medicare reassignment Care Compare group NPD
• Rochelle H Mezei, AUD

  • Audiologist
  • Clifton, NJ
  • NPI 1366918849
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343174400000",
    "number": "1396882239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4301",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070128301",
            "telephone_number": "973-470-8266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 CLIFTON AVE",
            "address_2": "SUITE 204",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070133517",
            "telephone_number": "973-470-8266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEDEREICH FAMILY EAR, NOSE AND THROAT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2012-07-25",
        "status": "A",
        "authorized_official_last_name": "LEDEREICH",
        "authorized_official_first_name": "CHANI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "973-470-8266"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NJ",
            "license": "MA062691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6603807",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa A Lawler
• Chrysa Lawson, LSW
• Evyenia M. Lazaris, MD
• Peter M. Leavitt, PH.D.
• Piero H Lecca, MA, LAMFT
• Philip Stanley Ledereich, MD
• Emily Ledesma
• Grace Lee, D.M.D.
• Joanne Lee
• Jocelyn Lee

• Otolaryngology Physician in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Otolaryngology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.