Individual provider Active NPI

Anthony J Leska, D.M.D.

  • General Practice Dentistry
  • Medford, NJ
National Provider Identifier
1871797589
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
122197 Issued in NJ
Practice address
99 Taunton Rd
Medford, NJ 08055-9362
Phone
(609) 654-7888
Fax
(609) 654-2827
NPI assigned
Jun 14, 2007
Sex
Male
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 Dentistry 1223G0001X 122197 NJ Primary

Addresses

Primary practice location

99 Taunton Rd
Medford, NJ 08055-9362

Mailing address

99 Taunton Rd
Medford, NJ 08055-9362
Phone (609) 654-7888

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160314000352 NJ Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 9537465828

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
122197NJMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
WM. Hoyt Demmerly, LLC General Practice Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871797589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 TAUNTON RD",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080559362",
            "telephone_number": "609-654-7888",
            "fax_number": "609-654-2827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 TAUNTON RD",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080559362",
            "telephone_number": "609-654-7888",
            "fax_number": "609-654-2827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESKA",
        "first_name": "ANTHONY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "122197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, NJ

Sources for this page

Verify at the official NPI Registry.