Dr. Mark D. Leodori, D.P.M.,P.a.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

MD1292 Issued in NJ

Legal business name

DR. MARK D. LEODORI, D.P.M.,P.A.

Practice address

194 Union Blvd
Totowa, NJ 07512-2663

Phone

(973) 790-1303

Fax

(973) 790-5033

NPI assigned

Apr 22, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Mark D Leodori, D.P.M.,P.A.

Title

President

Phone

(973) 790-1303

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210636800000",
    "number": "1467626317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "194 UNION BLVD",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "075122663",
            "telephone_number": "973-790-1303",
            "fax_number": "973-790-5033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194 UNION BLVD",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "075122663",
            "telephone_number": "973-790-1303",
            "fax_number": "973-790-5033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MARK D. LEODORI, D.P.M.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2008-05-13",
        "status": "A",
        "authorized_official_last_name": "LEODORI",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-790-1303",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M.,P.A."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "MD1292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1618601",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Foot & Ankle Surgery Podiatrist in Totowa, NJ
• Providers in Totowa, NJ by specialty
• Foot & Ankle Surgery Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; 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.