Ken Charles Leeder

Primary specialty

Day Training/Habilitation SpecialistTaxonomy code 373H00000X

Practice address

3 Merlin Dr
Washington, NJ 07882-3032

Phone

(201) 259-1327

NPI assigned

Jan 27, 2023

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1674777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1942916416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 MERLIN DR",
            "city": "WASHINGTON",
            "state": "NJ",
            "postal_code": "078823032",
            "telephone_number": "201-259-1327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 MERLIN DR",
            "city": "WASHINGTON",
            "state": "NJ",
            "postal_code": "078823032",
            "telephone_number": "201-259-1327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEEDER",
        "first_name": "KEN",
        "middle_name": "CHARLES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-27",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "373H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Day Training/Habilitation Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Krupa, APRN
• Julie Lagonera, LPC
• Jacqueline Ann Larue Barker, CSW
• Barbara June Lear, LPC
• Erin Leeder, LSW
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• Michaela Rose Lombard
• Lisa M Losco, PT
• Danielle Leigh Lovenberg, LSW

• Day Training/Habilitation Specialist in Washington, NJ
• Providers in Washington, NJ by specialty
• Day Training/Habilitation Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; 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.