Mark W. Leitman, MD, Facs, PA

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

25MA02993800 Issued in NJ

Legal business name

MARK W. LEITMAN, MD, FACS, PA

Practice address

13 Brunswick Woods Dr
East Brunswick, NJ 08816-5601

Phone

(732) 254-9090

Fax

(732) 254-4704

NPI assigned

Dec 9, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Mark W Leitman, M.D.NPI 1366485781

Title

President

Phone

(732) 254-9090

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark W Leitman, M.D.

  • Ophthalmology Physician
  • East Brunswick, NJ
  • NPI 1366485781
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1291852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301270400000",
    "number": "1881997187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 BRUNSWICK WOODS DR",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088165601",
            "telephone_number": "732-254-9090",
            "fax_number": "732-254-4704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 BRUNSWICK WOODS DR",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088165601",
            "telephone_number": "732-254-9090",
            "fax_number": "732-254-4704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK W. LEITMAN, MD, FACS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-09",
        "last_updated": "2011-03-28",
        "status": "A",
        "authorized_official_last_name": "LEITMAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-254-9090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA02993800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2881209",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leslie K Marcks, PT
• Heather Margulies, MS, RD
• Anita L. Mariano-NG, LSW
• Eileen A Mariniello, CCC-A
• Christine Niles Marion, DPT
• James Joseph Marmora, MD
• Browlyn Marquez, NP-C
• Anne Marshall, P.T.
• Elizabeth Duncan Marshall, LCSW
• Stephanie M Martinez

• Ophthalmology Physician in East Brunswick, NJ
• Providers in East Brunswick, NJ by specialty
• Ophthalmology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.