Active NPI
Aditee D Leszkowicz, DO
- Pediatrics Physician
- Marlton, NJ
National Provider Identifier
1962492959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 25MB07751000
- Practice address
- 500 Lippincott Dr
Marlton, NJ 08053-4802 - Phone
- (856) 988-9101
- Fax
- (856) 988-7712
- NPI assigned
- Oct 21, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 25MB07751000 | NJ | Primary |
Addresses
Primary practice location
500 Lippincott Dr
Marlton, NJ 08053-4802
Mailing address
402 Lippincott Dr
Marlton, NJ 08053-4112
Phone (856) 782-3300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0047414 | Medicaid | NJ |
Other names 1
- Dr. Aditee A Deodhar
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: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MB07751000 | NJ | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advocare , LLC | Current | Accepting new patients | |
| Advocare, LLC | Pediatrics | Current | Accepting new patients |
| Tendercare Pediatrics | Past | Accepting new patients | |
| BCD Health Partners | Pediatrics | Past | Accepting new patients |
Locations
132 Grove St
Ste A
Haddonfield, NJ 08033
Phone (856) 354-2211
402 Lippincott Dr
Marlton, NJ 08053
Phone (410) 763-8787
500 Lippincott Dr
Marlton, NJ 08053
Phone (856) 334-4100
401 Route 73 N
Ste 320
Marlton, NJ 08053
Phone (609) 471-1033
Organizations & group practices 4
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.
-
- Pediatrics Physician
- Marlton, NJ
- NPI 1770538696
-
- Internal Medicine Physician
- Manahawkin, NJ
- NPI 1912762162
-
- Pediatrics Physician
- Woodland Park, NJ
- NPI 1225317704
-
- Primary Care Clinic/Center
- Northfield, NJ
- NPI 1013949189
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268265600000",
"number": "1962492959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "402 LIPPINCOTT DR",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080534112",
"telephone_number": "856-782-3300",
"fax_number": "856-504-8029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 LIPPINCOTT DR",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080534802",
"telephone_number": "856-988-9101",
"fax_number": "856-988-7712"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LESZKOWICZ",
"first_name": "ADITEE",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-21",
"last_updated": "2010-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NJ",
"license": "25MB07751000",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0047414",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ADITEE",
"last_name": "DEODHAR",
"middle_name": "A",
"prefix": "DR.",
"credential": "DO",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Marlton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.