Diana S. Leu, MD, LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

25MA07922600 Issued in NJ

Legal business name

DIANA S. LEU, MD, LLC

Practice address

330 Ratzer Rd Ste D17
Wayne, NJ 07470-7704

Phone

(973) 925-7077

Fax

(973) 925-7078

NPI assigned

Nov 16, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Diana Leu, M.D.NPI 1447263744

Title

Medical Director

Phone

(973) 925-7077

Specialties & licenses 1

Addresses

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.

• Diana S Leu, MD

  • Dermatology Physician
  • Wayne, NJ
  • NPI 1447263744
  Medicare reassignment NPD Authorized official
• James Ping-Hsun Leu, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Wyomissing, PA
  • NPI 1841453677

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1321401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610668800000",
    "number": "1427325620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 RATZER RD STE D17",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074707704",
            "telephone_number": "973-925-7077",
            "fax_number": "973-925-7078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 RATZER RD STE D17",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074707704",
            "telephone_number": "973-925-7077",
            "fax_number": "973-925-7078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANA S. LEU, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-16",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A",
        "authorized_official_last_name": "LEU",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "973-925-7077",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NJ",
            "license": "25MA07922600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Geraldine J Di Tosto, PHD
• Diabeticwatchers USA LLC
• Diamond Braces Wayne
• Diamond Diagnostic
• Diamond Imaging
• Diana Zabarko OD LLC
• Allison Nicole Diangelo
• Alicia M Dias, APRN
• Linda Gazzillo Diaz, ED.D., ATC, LMT
• Walter Diduch, RPH

• Medical Specialty Clinic/Center in Wayne, NJ
• Providers in Wayne, NJ by specialty
• Medical Specialty Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2021; 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.