Individual provider Active NPI

William Randolph Leisner, MD

  • Internal Medicine Physician
  • N Cape May, NJ
National Provider Identifier
1609989045
Registry record updated Mar 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA042301 Issued in NJ
Practice address
650 Town Bank Rd
N Cape May, NJ 08204-4409
Phone
(609) 898-7447
Fax
(609) 898-1912
NPI assigned
Aug 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MA042301 NJ Primary

Addresses

Primary practice location

650 Town Bank Rd
N Cape May, NJ 08204-4409

Mailing address

650 Town Bank Rd
N Cape May, NJ 08204-4409
Phone (609) 898-7447

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA042301NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cape Physicians Associates PA Internal Medicine CurrentSince Feb 1, 2014 Accepting new patients
Cape Health Solutions, LLC Past Accepting new patients

Locations

2 Stone Harbor Blvd
Cape May Court House, NJ 08210
Phone (609) 463-2000

3806 Bayshore Rd
Ste 101
North Cape May, NJ 08204
Phone (609) 889-1900

Organizations & group practices 2

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": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395187200000",
    "number": "1609989045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 TOWN BANK RD",
            "city": "N CAPE MAY",
            "state": "NJ",
            "postal_code": "082044409",
            "telephone_number": "609-898-7447",
            "fax_number": "609-898-1912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 TOWN BANK RD",
            "city": "N CAPE MAY",
            "state": "NJ",
            "postal_code": "082044409",
            "telephone_number": "609-898-7447",
            "fax_number": "609-898-1912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEISNER",
        "first_name": "WILLIAM",
        "middle_name": "RANDOLPH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2014-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA042301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in N Cape May, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2014; 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.