Active NPI
Kevin Lauri Leen, MD
- Internal Medicine Physician
- Livingston, NJ
National Provider Identifier
1699729293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 25MA01920400
- Practice address
- 65 E Northfield Rd
Ste L
Livingston, NJ 07039 - Phone
- (973) 992-6487
- Fax
- (973) 992-7040
- NPI assigned
- May 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25MA01920400 | NJ | Primary |
Addresses
Primary practice location
65 E Northfield Rd
Ste L
Livingston, NJ 07039
Mailing address
65 E Northfield Rd
Ste L
Livingston, NJ 07039
Phone (973) 992-6487
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
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA01920400 | NJ | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Livingston Medical Associates PA | Internal Medicine | Past | Accepting new patients |
| Alpha Health Associates LLC | Internal Medicine | Past | Accepting new patients |
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.
-
- Internal Medicine Physician
- West Orange, NJ
- NPI 1104058460
-
- Internal Medicine Physician
- Livingston, NJ
- NPI 1568558799
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204848000000",
"number": "1699729293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65 E NORTHFIELD RD",
"address_2": "STE L",
"city": "LIVINGSTON",
"state": "NJ",
"postal_code": "07039",
"telephone_number": "973-992-6487",
"fax_number": "973-992-7040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 E NORTHFIELD RD",
"address_2": "STE L",
"city": "LIVINGSTON",
"state": "NJ",
"postal_code": "07039",
"telephone_number": "973-992-6487",
"fax_number": "973-992-7040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEEN",
"first_name": "KEVIN",
"middle_name": "LAURI",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-19",
"last_updated": "2008-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA01920400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Livingston, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.