Individual provider Active NPI

Leannah Louise Harper, M.D.

  • Pediatrics Physician
  • Vineland, NJ
National Provider Identifier
1598708448
Registry record updated Dec 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MA04544700 Issued in NJ
Practice address
616 E Landis Ave
Suite B
Vineland, NJ 08360-8007
Phone
(856) 690-0050
Fax
(856) 690-9499
NPI assigned
Jun 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 25MA04544700 NJ Primary

Addresses

Primary practice location

616 E Landis Ave
Suite B
Vineland, NJ 08360-8007

Mailing address

616 E Landis Ave
Suite B
Vineland, NJ 08360-8007
Phone (856) 690-0050

Other identifiers 1

IdentifierTypeStateIssuer
24171209MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20180308002115 NJ Practitioner - Pediatric Medicine 1456612456 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA04544700NJMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Care, Inc. CurrentSince Jan 28, 2018 Accepting new patients
Community Health Care, Inc. Pediatrics CurrentSince Jan 28, 2018 Accepting new patients
Inspira Medical Centers, Inc. Past Accepting new patients

Locations

30 N Pearl St
Bridgeton, NJ 08302

265 Irving Ave
Bridgeton, NJ 08302

335 Delsea Dr N
Glassboro, NJ 08028
Phone (856) 863-5720

1505 W Sherman Ave
Vineland, NJ 08360
Phone (856) 451-6600

785 W Sherman Ave
Vineland, NJ 08360

75 W Red Bank Ave
Woodbury, NJ 08096
Phone (856) 853-2055

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324252800000",
    "number": "1598708448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 E LANDIS AVE",
            "address_2": "SUITE B",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083608007",
            "telephone_number": "856-690-0050",
            "fax_number": "856-690-9499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 E LANDIS AVE",
            "address_2": "SUITE B",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083608007",
            "telephone_number": "856-690-0050",
            "fax_number": "856-690-9499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARPER",
        "first_name": "LEANNAH",
        "middle_name": "LOUISE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2011-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA04544700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "24171209",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vineland, NJ

Sources for this page

Verify at the official NPI Registry.