Individual provider Active NPI

Gregory M Leiter, PA-C

  • Physician Assistant
  • Plainsboro, NJ
National Provider Identifier
1750429080
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00215000 Issued in NJ
Practice address
5 Plainsboro Rd
Ste 260
Plainsboro, NJ 08536-1915
Phone
(215) 579-7728
NPI assigned
Feb 1, 2007
Last updated
Oct 14, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 25MP00215000 NJ Primary

Addresses

Primary practice location

5 Plainsboro Rd
Ste 260
Plainsboro, NJ 08536-1915

Mailing address

5 Plainsboro Rd
Ste 260
Plainsboro, NJ 08536-1915
Phone (215) 579-7728

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090521000361 NJ Practitioner - Physician Assistant 3072662048 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 Plainsboro Rd
Plainsboro, NJ 08536-1913
Phone (609) 853-7272

350 Forsgate Dr
Monroe, NJ 08831-5155

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
25MP00215000NJMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Health Care Associates of New Jersey, P.C. CurrentSince Aug 14, 2024 Accepting new patients
Princeton Healthcare Affiliated Physicians PC CurrentSince Aug 28, 2017 Accepting new patients
Princeton Healthcare Affiliated Physicians PC CurrentSince Aug 28, 2017 Accepting new patients
Clinical Health Care Associates of New Jersey, PC CurrentSince Aug 14, 2024 Accepting new patients
Stroke & Cerebrovascular Center of New Jersey PC Past Accepting new patients
Capital Health Spine Center Past Accepting new patients
Stroke & Cerebrovascular Center of New Jersey Past Accepting new patients

Locations

401 Ridge Rd
Ste 6
Dayton, NJ 08810
Phone (732) 329-4800

350 Forsgate Dr
Ste 103
Monroe Twp, NJ 08831
Phone (609) 831-0779

5 Plainsboro Rd
Ste 260
Plainsboro, NJ 08536
Phone (609) 372-3220

1 Washington Blvd
Ste A
Trenton, NJ 08691
Phone (609) 448-4353

1006 Mantua Pike
Woodbury Hts, NJ 08097
Phone (856) 845-6880

Organizations & group practices 8

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1750429080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 PLAINSBORO RD",
            "address_2": "STE 260",
            "city": "PLAINSBORO",
            "state": "NJ",
            "postal_code": "085361915",
            "telephone_number": "215-579-7728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 PLAINSBORO RD",
            "address_2": "STE 260",
            "city": "PLAINSBORO",
            "state": "NJ",
            "postal_code": "085361915",
            "telephone_number": "215-579-7728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEITER",
        "first_name": "GREGORY",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00215000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainsboro, NJ

Sources for this page

Verify at the official NPI Registry.