Leon G. Smith Jr. MD, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

25MA05307800 Issued in NJ

Legal business name

LEON G. SMITH JR. MD, LLC

Practice address

155 Jefferson St
Newark, NJ 07105-1706

Phone

(973) 403-1922

Fax

(973) 403-1912

NPI assigned

May 15, 2007

Organization subpart

No

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

Authorized official

Name

Leon Smith Jr., MD

Title

Delegated Official

Phone

(973) 403-1922

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190937600000",
    "number": "1780890814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 OLD CHESTER RD",
            "city": "ESSEX FELLS",
            "state": "NJ",
            "postal_code": "070211624",
            "telephone_number": "973-403-1922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 JEFFERSON ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071051706",
            "telephone_number": "973-403-1922",
            "fax_number": "973-403-1912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEON G. SMITH JR. MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2007-09-28",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "LEON",
        "authorized_official_title_or_position": "DELEGATED OFFICIAL",
        "authorized_official_telephone_number": "973-403-1922",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA05307800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Amada Leon, DNP, APN, FNP-BC
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• Erin Grace Leong, PA-C
• Kevin Leong, PA-C
• Cresencia E Leopold, ANP

• Specialist in Newark, NJ
• Providers in Newark, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.