Active NPI
Brian Leung, MD
- Orthodontics and Dentofacial Orthopedics Dentistry
- Old Bridge, NJ
National Provider Identifier
1780731505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 22DI02385800
- Practice address
- 2101 Route 516
Suite a
Old Bridge, NJ 08857-1741 - Phone
- (732) 607-2488
- NPI assigned
- Jan 4, 2007
- Last updated
- Nov 30, 2012
- 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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 22DI02385800 | NJ | Primary |
Addresses
Primary practice location
2101 Route 516
Suite a
Old Bridge, NJ 08857-1741
Mailing address
2101 Route 516
Suite a
Old Bridge, NJ 08857-1741
Phone (732) 607-2488
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI02385800 | NJ | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354233600000",
"number": "1780731505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2101 ROUTE 516",
"address_2": "SUITE A",
"city": "OLD BRIDGE",
"state": "NJ",
"postal_code": "088571741",
"telephone_number": "732-607-2488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 ROUTE 516",
"address_2": "SUITE A",
"city": "OLD BRIDGE",
"state": "NJ",
"postal_code": "088571741",
"telephone_number": "732-607-2488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEUNG",
"first_name": "BRIAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-04",
"last_updated": "2012-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "NJ",
"license": "22DI02385800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Old Bridge, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.