Leah Skidmore, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

26NJ00573600 Issued in NJ

Practice address

20 Prospect Ave
Suite 800
Hackensack, NJ 07601-1997

Phone

(201) 343-6676

Fax

(201) 343-6689

NPI assigned

Jul 16, 2015

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1437004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437004800000",
    "number": "1972987337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 N BROADWAY",
            "address_2": "GL1",
            "city": "N WHITE PLAINS",
            "state": "NY",
            "postal_code": "106032417",
            "telephone_number": "914-428-3651",
            "fax_number": "914-428-2948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 PROSPECT AVE",
            "address_2": "SUITE 800",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011997",
            "telephone_number": "201-343-6676",
            "fax_number": "201-343-6689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKIDMORE",
        "first_name": "LEAH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-16",
        "last_updated": "2015-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00573600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annette Sinski, R.N.,A.P.N.C.
• Michelle Leigh Sirak, M.D.
• Siri Pharmacy Inc
• Connie Situ, PA
• Danielle Skiba, ATC
• Skin Laser and Surgery Specialists of Ny/NJ, LLC
• Christopher Skory, MS, PA-C
• Skylex
• John Slakey
• Kevin A Slavin, MD

• All providers in Hackensack, NJ
• Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2015; 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.