Individual provider Active NPI

Leah Celia Kincaid, MD

  • Dermatology Physician
  • Lawrenceville, NJ
National Provider Identifier
1710401203
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
25MA10031400 Issued in NJ
Practice address
3311 Brunswick Pike
Lawrenceville, NJ 08648-2411
Phone
(609) 799-1600
NPI assigned
Jul 27, 2017
Sex
Female
Sole proprietor
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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 25MA10031400 NJ Primary

Addresses

Primary practice location

3311 Brunswick Pike
Lawrenceville, NJ 08648-2411

Mailing address

3311 Brunswick Pike
Lawrenceville, NJ 08648-2411
Phone (609) 799-1600

Other practice location 1

1205 Langhorne Newtown Rd
Langhorne, PA 19047-1219
Phone (609) 799-1600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20171023001794 NJ Practitioner - Dermatology 4789950569 Reassigns benefits to 1 organization
I20171023002025 PA Practitioner - Dermatology 4789950569 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alliance Dermatology Physicians PCGroup PAC ID 9133553449, 5 clinicians

Practice addresses (Care Compare)

11 Friends LN
Suite 115
Newtown, PA 18940-1885
Phone (609) 799-1600

29 Emmons Dr
Suite F20
Princeton, NJ 08540-5978
Phone (609) 799-1600

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision29
Removal of skin lesions599
Removal or shaving of skin growth1-10
Skin biopsy238

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA10031400NJMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Dermatology Physicians, P.C. Dermatology CurrentSince Nov 1, 2019 Accepting new patients
Alliance Dermatology Physicians, P.C. Dermatology CurrentSince Nov 1, 2019 Accepting new patients

Locations

3311 US Highway 1
Lawrenceville, NJ 08648
Phone (609) 716-7030

29 Emmons Dr
Ste F20
Princeton, NJ 08540
Phone (609) 799-1600

1205 Langhorne Newtown Rd
Ste 215
Langhorne, PA 19047
Phone (215) 752-7194

11 Friends Ln
Ste 115
Newtown, PA 18940
Phone (609) 799-1600

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1501113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1710401203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3311 BRUNSWICK PIKE",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086482411",
            "telephone_number": "609-799-1600",
            "fax_number": "609-799-1677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3311 BRUNSWICK PIKE",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086482411",
            "telephone_number": "609-799-1600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1205 Langhorne Newtown Rd",
            "address_purpose": "LOCATION",
            "city": "Langhorne",
            "state": "PA",
            "postal_code": "190471219",
            "country_code": "US",
            "telephone_number": "609-799-1600",
            "fax_number": "609-799-1677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KINCAID",
        "first_name": "LEAH",
        "middle_name": "CELIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-27",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "25MA10031400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, NJ

Sources for this page

Verify at the official NPI Registry.