LUIS A LECLERES (NPI# 1134240286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134240286 |
| Entity Type | Individual |
| Full Name | LUIS A LECLERES |
| Credential | DMD |
| Practice Address |
130 Cedar Ln Apt 5n Teaneck NJ 07666-4424 |
| Practice Telephone | 9175333417 |
| Mailing Telephone | 9175333417 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2015-07-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
0500331 | NY | Dental Providers |
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
050033 | NY | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00050033 | 05 |
| Street Address |
130 CEDAR LN APT 5N |
| City | TEANECK |
| State | NJ |
| Zip Code | 07666-4424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265047096 | Erica Marie Edmondson | Massage Therapist | 780 New Bridge Rd., Teaneck, NJ 07666 | 2020-09-09 |
| 1609489772 | Bushra Ali | Specialist/Technologist, Other | 1086 Teaneck Road, Suite 4a, Teaneck, NJ 07666 | 2020-08-28 |
| 1043870108 | Etti Miriram Hochberg Schaap | Social Worker | Jewish Family & Children's Services of Northern New Jer, 1485 Teaneck Road, Teaneck, NJ 07666 | 2019-06-19 |
| 1003309428 | Holy Name Medical Center Inc | Pharmacy | 718 Teaneck Rd Ste 2, Teaneck, NJ 07666 | 2018-06-11 |
| 1619494150 | Synergy Homecare of Bergen County | In Home Supportive Care | 1029 Teaneck Road, Suite 3d, Teaneck, NJ 07666 | 2017-08-25 |
| 1811419278 | Genara O Ortiz | Specialist | 195 Sherman Ave., Teaneck, NJ 07666 | 2017-07-07 |
| 1689103061 | Carmeliza Ronquillo Gonzalo | Specialist | 836 Williams Avenue, Teaneck, NJ 07666 | 2017-06-08 |
| 1356875934 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1014 Palisade Avenue, Teaneck, NJ 07666 | 2017-04-20 |
| 1902358427 | Tamar Danzger | Social Worker | 530 Ogden Ave, Teaneck, NJ 07666 | 2016-11-01 |
| 1376093724 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 520 Cedar Ln, Teaneck, NJ 07666 | 2016-10-10 |
| Find all providers in zip 07666 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356540280 | Sharon Knoll | Dentist | 149 W Englewood Ave, Teaneck, NJ 07666-5015 | 2007-07-11 |
| 1174747539 | Francis Joseph Graham | Dentist | 515 Queen Anne Rd, Teaneck, NJ 07666-3237 | 2007-04-13 |
| 1649524794 | Ahrin Huh | Dentist | 751 Teaneck Rd, Teaneck, NJ 07666-4242 | 2012-10-27 |
| 1467671644 | Staci Bockstein Frankowitz, D.m.d., P.a. | Dentist | 101 Cedar Lane, Teaneck, NJ 07666 | 2007-04-25 |
| 1982823167 | Andrew Alan Sklover | Dentist | 101 Cedar Lane, Teaneck, NJ 07666 | 2007-04-25 |
| 1861611204 | Staci Bockstein Frankowitz | Dentist | 101 Cedar Lane, Teaneck, NJ 07666 | 2007-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306452487 | Piskai Orthodontics LLC | Dentist | 302 Haddonfield Berlin Rd, Voorhees, NJ 08043-1413 | 2020-09-23 |
| 1992319537 | Nishat Anbar Shahabuddin | Dentist | 3123 Kennedy Blvd, North Bergen, NJ 07047-2378 | 2020-09-01 |
| 1770192239 | Eastern Dental Holdings, LLC | Dentist | 1030 St. Georges Avenue, Suite 304, Avenel, NJ 07001-1327 | 2020-07-30 |
| 1831714765 | Suzanne Quigley Dmd, LLC | Dentist | 130 Maple Ave Ste 2b, Red Bank, NJ 07701-1729 | 2020-06-16 |
| 1871114512 | Marigold Pediatric Dentistry and Orthodontics | Dentist | 1713 Springfield Ave, Maplewood, NJ 07040-2914 | 2020-05-05 |
| 1366076648 | Robert Vartkis Kinoian | Dentist | 138 Spring Valley Rd, Paramus, NJ 07652-5332 | 2020-02-26 |
| 1932732856 | Elite Orthodontics | Dentist | 61 Berdan Ave, Wayne, NJ 07470-3231 | 2020-02-19 |
| 1568006583 | Bowen Family Orthodontics, LLC | Dentist | 7 Myers Dr Ste B, Mullica Hill, NJ 08062-9513 | 2019-11-01 |
| 1376185181 | Robert Bray | Dentist | 620 Shore Road, Somers Point, NJ 08244 | 2019-10-14 |
| 1295376010 | Amy H Hoch | Dentist | 105 Reids Hill Rd Ste A, Matawan, NJ 07747-4003 | 2019-10-02 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.