Individual provider Active NPI

Thomas A Leeson, DO

  • Family Medicine Physician
  • Mullica Hill, NJ
National Provider Identifier
1558410191
Registry record updated Oct 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MB11150900 Issued in NJ
Practice address
141 Bridgeton Pike Unit B
Mullica Hill, NJ 08062-2615
Phone
(856) 746-0206
Fax
(856) 746-0207
NPI assigned
Jan 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2024

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 272208 NY
Family Medicine Physician 207Q00000X 15352 NH
Family Medicine Physician 207Q00000X 25MB11150900 NJ Primary
Family Medicine Physician 207Q00000X LT 3042 NH
Family Medicine Physician 207Q00000X OS016477 PA
Family Medicine Physician 207Q00000X 2097 ME

Addresses

Primary practice location

141 Bridgeton Pike Unit B
Mullica Hill, NJ 08062-2615

Mailing address

301 Lippincott Dr Ste 410
Marlton, NJ 08053-4197
Phone (856) 746-0206

Other practice location 1

1 Guthrie Sq
Sayre, PA 18840-1625
Phone (570) 888-5858

Other practice location 2

128 Route 70 Ste 1
Medford, NJ 08055-2371
Phone (609) 367-0900

Other practice location 3

315 Route 70 E
Cherry Hill, NJ 08034-2408
Phone (856) 375-6240

Other practice location 4

401 Young Avenue Suite 180 Front
Moorestown, NJ 08057
Phone (856) 291-8600

Other practice location 5

602 W Cuthbert Blvd Unit 26
Haddon Township, NJ 08108-3642
Phone (856) 946-5180

Other practice location 6

239 Hurffville Crosskeys Rd Ste 160
Sewell, NJ 08080-4005
Phone (856) 341-8200

Other practice location 7

158 Route 73 Ste B
Voorhees, NJ 08043-9539
Phone (856) 247-7230

Other practice location 8

555 High St Ste 16A
Mount Holly, NJ 08060-1084
Phone (609) 444-5610

Other identifiers 3

IdentifierTypeStateIssuer
30229007MedicaidNH
432682399MedicaidME
1019471MedicaidVT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ, DC, MD4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20181113000152 NY Practitioner - Osteopathic Manipulative Medicine 7810039161 Reassigns benefits to 4 organizations
I20210930001130 NJ Practitioner - Emergency Medicine 7810039161 Reassigns benefits to 1 organization
I20241118002175 DC Practitioner - Emergency Medicine 7810039161 Reassigns benefits to 1 organization
I20241118002784 MD Practitioner - Emergency Medicine 7810039161 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of New England, College of Osteo Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virtua Medical Group, PAGroup PAC ID 9830222397, 1,678 clinicians

Practice addresses (Care Compare)

141 Bridgeton Pike
Unit B
Mullica Hill, NJ 08062-2615
Phone (856) 746-0206

239 Hurffville Crosskeys Rd
Sewell, NJ 08080-4002

305 Route 70 E
Cherry Hill, NJ 08034-2408

315 Route 70 E
Vitua Express Urgent Care Cherry Hill
Cherry Hill, NJ 08034-2408
Phone (856) 375-6240

3242 Route 206
Bordentown, NJ 08505-4517

Merit-based Incentive Payment System (MIPS)

Final score
91.85 of 100Reported as group
Quality
79.23
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
81.15 of 100Reported as group
Quality
62.28
Promoting interoperability
100
Improvement activities
40
Cost
74.89

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
15352NHMDFamily Medicine Physician
LT 3042NHMDFamily Medicine Physician
25MB11150900NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Virtua Medical Group, PA CurrentSince Dec 1, 2024 Accepting new patients
Emergency Medicine Associates, PA Emergency Medicine CurrentSince Oct 5, 2024 Accepting new patients
Emergency Medicine Associates P.a., P.C. Emergency Medicine Current Accepting new patients
Emergency Medicine Physicians of Cortland County, PLLC Emergency Medicine CurrentSince Oct 11, 2018 Accepting new patients
Emergency Care Services of New York, P.C. Emergency Medicine CurrentSince Sep 25, 2024 Accepting new patients
Virtua Medical Group, PA CurrentSince Dec 1, 2024 Accepting new patients
Virtua Medical Group, PA Family Medicine Current Accepting new patients
Emergency Medicine Associates PA Emergency Medicine CurrentSince Oct 5, 2024 Accepting new patients
Island Emergency Medical Services, P.C. Emergency Medicine CurrentSince Jun 7, 2023 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Oct 5, 2024 Accepting new patients
Wellnow Urgent Care, PC CurrentSince Jan 4, 2021 Accepting new patients
On Demand Urgent Care Group PC Past Accepting new patients
Inspira Health Network Medical Group, P.C. Past Accepting new patients

Locations (25 of 27)

100 Hospital Rd
Prnc Frederck, MD 20678
Phone (410) 414-4791

200 Memorial Ave
Westminster, MD 21157
Phone (410) 848-3000

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

315 Route 70 E
Cherry Hill, NJ 08034
Phone (856) 375-6240

602 W Cuthbert Blvd
Unit 26
Haddon Township, NJ 08108
Phone (856) 946-5180

141 Route 70 E
Ste E
Marlton, NJ 08053
Phone (856) 985-7373

303 Lippincott Dr
Ste 200
Marlton, NJ 08053
Phone (856) 355-0335

301 Lippincott Dr
Ste 410
Marlton, NJ 08053

128 Route 70
Ste 1
Medford, NJ 08055
Phone (609) 367-0900

401 Young Ave
Ste 180
Moorestown, NJ 08057
Phone (856) 291-8600

555 High St
Ste 16A
Mount Holly, NJ 08060
Phone (609) 444-5610

141 Bridgeton Pike
Unit B
Mullica Hill, NJ 08062
Phone (856) 746-0206

239 Hurffville Crosskeys Rd
Ste 160
Sewell, NJ 08080
Phone (856) 341-8200

158 Route 73
#B
Voorhees, NJ 08043
Phone (856) 247-7230

315 S Manning Blvd
Albany, NY 12208
Phone (518) 525-1852

600 Northern Blvd
Albany, NY 12204
Phone (518) 427-3331

134 Homer Ave
Cortland, NY 13045
Phone (607) 756-3500

327 Beach 19th St
Far Rockaway, NY 11691
Phone (718) 689-7640

103 Sitterly Rd
Halfmoon, NY 12065
Phone (518) 579-2700

446 Fairview Ave
Ste 200
Hudson, NY 12534
Phone (518) 267-3496

7375 Oswego Rd
#1
Liverpool, NY 13090
Phone (315) 291-0064

321 Genesee St
Oneida, NY 13421
Phone (315) 361-2020

1101 Nott St
Schenectady, NY 12308
Phone (518) 243-1916

200 Harborside Dr
Schenectady, NY 12305
Phone (518) 881-4470

50 Route 25A
Smithtown, NY 11787
Phone (631) 465-6225

Interoperability endpoints

  • Direct secure messaging: tleeson291056@directvirtua.org
  • Direct secure messaging: tleeson46367@direct-guthrie.org

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729814400000",
    "number": "1558410191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 LIPPINCOTT DR STE 410",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534197",
            "telephone_number": "856-746-0206",
            "fax_number": "856-746-0207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 BRIDGETON PIKE UNIT B",
            "city": "MULLICA HILL",
            "state": "NJ",
            "postal_code": "080622615",
            "telephone_number": "856-746-0206",
            "fax_number": "856-746-0207"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Guthrie Sq",
            "address_purpose": "LOCATION",
            "city": "Sayre",
            "state": "PA",
            "postal_code": "188401625",
            "country_code": "US",
            "telephone_number": "570-888-5858",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "128 Route 70 Ste 1",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "NJ",
            "postal_code": "080552371",
            "country_code": "US",
            "telephone_number": "609-367-0900",
            "fax_number": "609-367-0901",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "315 Route 70 E",
            "address_purpose": "LOCATION",
            "city": "Cherry Hill",
            "state": "NJ",
            "postal_code": "080342408",
            "country_code": "US",
            "telephone_number": "856-375-6240",
            "fax_number": "856-375-6241",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 Young Avenue Suite 180 Front",
            "address_purpose": "LOCATION",
            "city": "Moorestown",
            "state": "NJ",
            "postal_code": "08057",
            "country_code": "US",
            "telephone_number": "856-291-8600",
            "fax_number": "856-291-8610",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "602 W Cuthbert Blvd Unit 26",
            "address_purpose": "LOCATION",
            "city": "Haddon Township",
            "state": "NJ",
            "postal_code": "081083642",
            "country_code": "US",
            "telephone_number": "856-946-5180",
            "fax_number": "856-946-5181",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "239 Hurffville Crosskeys Rd Ste 160",
            "address_purpose": "LOCATION",
            "city": "Sewell",
            "state": "NJ",
            "postal_code": "080804005",
            "country_code": "US",
            "telephone_number": "856-341-8200",
            "fax_number": "856-341-8215",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "158 Route 73 Ste B",
            "address_purpose": "LOCATION",
            "city": "Voorhees",
            "state": "NJ",
            "postal_code": "080439539",
            "country_code": "US",
            "telephone_number": "856-247-7230",
            "fax_number": "856-247-7231",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "555 High St Ste 16A",
            "address_purpose": "LOCATION",
            "city": "Mount Holly",
            "state": "NJ",
            "postal_code": "080601084",
            "country_code": "US",
            "telephone_number": "609-444-5610",
            "fax_number": "609-444-5611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEESON",
        "first_name": "THOMAS",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "272208",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "15352",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB11150900",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "LT 3042",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS016477",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "2097",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30229007",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "432682399",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1019471",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mullica Hill, NJ

Sources for this page

Verify at the official NPI Registry.