Leanne Elizabeth Mitchell, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI01731400 Issued in NJ

Practice address

40 Elm Ave
Woodbury Heights, NJ 08097-1140

Phone

(856) 848-6630

Fax

(856) 848-7294

NPI assigned

Apr 8, 2008

Sex

Female

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

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207612800000",
    "number": "1962675298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 ELM AVE",
            "city": "WOODBURY HEIGHTS",
            "state": "NJ",
            "postal_code": "080971140",
            "telephone_number": "856-848-6630",
            "fax_number": "856-848-7294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 ELM AVE",
            "city": "WOODBURY HEIGHTS",
            "state": "NJ",
            "postal_code": "080971140",
            "telephone_number": "856-848-6630",
            "fax_number": "856-848-7294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "LEANNE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-08",
        "last_updated": "2008-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI01731400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelique S Mason, CRNP
• Bruce Thomas McCabe Jr., ATC
• John Joseph Metrinko, D.M.D.
• MFH Management LLC
• Rebecca Riad Mina, DPM
• Kimberly Dawn Morawski, DMD
• My Friends House Medical Services, Inc.
• Myron Freeman DDS & Norman H Grolnick DDS
• Newpoint Behavioral Health Care
• Joseph William Paskill III, DMD

• General Practice Dentistry in Woodbury Heights, NJ
• Providers in Woodbury Heights, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; 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.

Verify at the official NPI Registry.