Alden Leifer, MD. PC
Organization Active NPI Medical Specialty Clinic/Center · Paterson, NJ
NPI 1679635205 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1679635205
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Medical Specialty Clinic/Center 261QM2500X
- License
- MA46643 (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
- Organization subpart
- No
Authorized official
- Name
- Alden Leifer, M.D.
- Title
- President
- Phone
- (973) 742-4747
Corporate family (same tax ID) 1
Practitioners 6
-
Alden Leifer, MD
-
Miriam Fuhrman, M.D
-
Joyce Kokatt Varkey, D.O.
-
Elsa Gabrielle Zavoda, O.T.
-
Naomi R Knoller, O.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Tax ID family
- Alden Leifer MD PC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | MA46643 | NJ | Yes |
| 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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0357405 | Medicaid | NJ |
Other providers in Paterson, NJ
- Asher Aladjem
- Alan Doktor MD and Parvin Naficy MD
- Alan Friedman MD Rehabilitation Medicine Inc
- Lucrecia Alburquerque
- Maria Elena Alcantara
- Alden Leifer, MD. PC
- Basel Aldroubi
- Alexander Haselkorn MD PA
- Alexis Sorazon MD & Ramon Sandoval MD Great Falls Medical Center
- Renel Alexis
All providers in Paterson, NJ · Medical Specialty Clinic/Center in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.