Individual provider Active NPI

Robin Ellen Leder, M.D.

  • General Practice Physician
  • Hackensack, NJ
National Provider Identifier
1750437950
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
MA54229 Issued in NJ
Practice address
235 Prospect Ave
Suite LB
Hackensack, NJ 07601-2510
Phone
(201) 525-1155
NPI assigned
Jan 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X MA54229 NJ Primary

Addresses

Primary practice location

235 Prospect Ave
Suite LB
Hackensack, NJ 07601-2510

Mailing address

235 Prospect Ave
Suite LB
Hackensack, NJ 07601-2510
Phone (201) 525-1155

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070705000141 NJ Practitioner - General Practice 4789784794 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Albert Einstein College of Medicine of Yeshiva University, 1982
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

235 Prospect Ave
Hackensack, NJ 07601-2542
Phone (201) 525-1155

Hospital & facility affiliations

  • Hackensack University Medical Center Hospital, Hackensack, NJ, CCN 310001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA54229NJMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Robin Ellen Leder, M.D., L.L.C. General Practice CurrentSince Apr 30, 2007 Accepting new patients

Locations

235 Prospect Ave
Ste Lb
Hackensack, NJ 07601
Phone (201) 525-1155

Organizations & group practices 1

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.

Hospital & facility affiliations 2

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": "1169942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750437950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 PROSPECT AVE",
            "address_2": "SUITE LB",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076012510",
            "telephone_number": "201-525-1155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 PROSPECT AVE",
            "address_2": "SUITE LB",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076012510",
            "telephone_number": "201-525-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDER",
        "first_name": "ROBIN",
        "middle_name": "ELLEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NJ",
            "license": "MA54229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

Verify at the official NPI Registry.