NPIMap

Organization Active NPI

Alden Leifer, MD. PC

  • Medical Specialty Clinic/Center
  • Paterson, NJ
National Provider Identifier
1679635205
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
MA46643 Issued in NJ
Legal business name
ALDEN LEIFER, MD. PC
Practice address
680 Broadway Ste 114
Paterson, NJ 07514-1526
Phone
(973) 742-4747
Fax
(973) 742-0629
NPI assigned
Dec 13, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Alden Leifer, M.D.NPI 1093740375
Title
President
Phone
(973) 742-4747

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X MA46643 NJ Primary
Eyewear Supplier 332H00000X

Addresses

Primary practice location

680 Broadway Ste 114
Paterson, NJ 07514-1526

Mailing address

680 Broadway
Suite 114
Paterson, NJ 07514
Phone (973) 742-4747

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050224000709 NJ Part B Supplier - Clinic/Group Practice 2062465586 Receives reassigned benefits from 4 practitioners
Practice locations: Paterson, NJ
O20100930093171 NJ DME Supplier - Physician - Ophthalmology 2062465586 Practice locations: Paterson, NJ

National Provider Directory

National Provider Directory
Tax ID family
Alden Leifer MD PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

680 Broadway
Ste 114
Paterson, NJ 07514
Phone (973) 742-4747

680 Broadway
Ste 1H
Paterson, NJ 07514
Phone (973) 742-4747

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1679635205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 BROADWAY",
            "address_2": "SUITE 114",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "07514",
            "telephone_number": "973-742-4747",
            "fax_number": "973-742-0629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 BROADWAY STE 114",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075141526",
            "telephone_number": "973-742-4747",
            "fax_number": "973-742-0629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALDEN LEIFER, MD. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LEIFER",
        "authorized_official_first_name": "ALDEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-742-4747",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NJ",
            "license": "MA46643",
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paterson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.