Leon M Marsh

Primary specialty

PharmacistTaxonomy code 183500000X

License

28RI01697200 Issued in NJ

Practice address

60 Beaverbrook Rd
Lincoln Park, NJ 07035-1771

Phone

(973) 694-7141

NPI assigned

Dec 7, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Shoprite of Lincoln Park Inc

  • Community/Retail Pharmacy
  • Lincoln Park, NJ
  • NPI 1760597546
  NPD

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

{
    "created_epoch": "1607299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1861098709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 BEAVERBROOK RD",
            "city": "LINCOLN PARK",
            "state": "NJ",
            "postal_code": "070351771",
            "telephone_number": "973-694-7141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 BEAVERBROOK RD",
            "city": "LINCOLN PARK",
            "state": "NJ",
            "postal_code": "070351771",
            "telephone_number": "973-694-7141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSH",
        "first_name": "LEON",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-07",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI01697200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lincoln Park Physical Therapy and Sports Rehabilitation, LLC
• Lincoln Park Renaissance Rehab. & Nursing Center LLC
• Diane Magee
• Sandra J Mainardi, PTA
• Melissa Marie Manning
• Chris Mathew, DPT
• Jennifer Nicole Mattiello, D.C.
• Allison Mizzone, M.S, CF-SLP
• Carla S Moldes, PT
• Shafiullah Naveed, PHARMD

• Pharmacist in Lincoln Park, NJ
• Providers in Lincoln Park, NJ by specialty
• Pharmacist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; 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.