DR. LEIGH MARK ETTINGER


Address: 30 Prospect Ave, Hackensack, NJ 07601-1914
Phone: 5519968228

DR. LEIGH MARK ETTINGER (NPI# 1194765859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194765859
Entity Type Individual
Full Name DR. LEIGH MARK ETTINGER
Credential MD, MS
Practice Address 30 Prospect Ave
Hackensack
NJ 07601-1914
Mailing Address 1623 3rd Avenue
Apt.19h
New York
NY 10128
Practice Telephone 5519968228
Practice Fax Number 5519965397
Mailing Telephone 9178385457
Enumeration Date 2006-06-08
Last Update Date 2017-05-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0210X Pediatrics
Specialization: Pediatric Nephrology
25MA07761200 NJ Allopathic & Osteopathic Physicians

Office Location

Street Address 30 PROSPECT AVE
City HACKENSACK
State NJ
Zip Code 07601-1914

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417955279 Despee Bockarie Konneh Physician Assistant 30 Prospect Ave, Hackensack, NJ 07601-1915 2005-07-14
1629675616 Jena Marie Ahmed Nurse Practitioner 30 Prospect Ave, Hackensack, NJ 07601-1915 2020-10-03
1114532173 Caroline Castro Nurse Practitioner 30 Prospect Ave, Hackensack, NJ 07601-1915 2020-09-15
1013521244 Stephanie Akanbi Nurse Practitioner 30 Prospect Ave, Hackensack, NJ 07601-1915 2020-09-04
1639781388 Caitlin Brianna Powers Registered Nurse 30 Prospect Ave, Hackensack, NJ 07601-1915 2020-08-22
1457960270 Neha Bhasin Registered Nurse 30 Prospect Ave, Hackensack, NJ 07601-1915 2020-07-28
1083232375 James Robert Hoff IIi Physician Assistant 30 Prospect Ave, Hackensack, NJ 07601-1915 2020-07-13
1043834336 Daniel Sheldon Physician Assistant 30 Prospect Ave, Hackensack, NJ 07601-1915 2020-06-02
1710500780 Ferdinand Pontejos Nurse Practitioner 30 Prospect Ave, Hackensack, NJ 07601-1915 2020-05-25
1972126969 Eric Hugenberg Pharmacist 30 Prospect Ave, Hackensack, NJ 07601-1915 2020-05-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1750989414 Alpha Healthcare Staffing Firm, LLC Registered Nurse 194 Passaic Street, Hackensack, NJ 07601 2020-10-15
1396350120 Lower Limb Institute Podiatrist 211 Esses Street, Suite 405, Hackesack, NJ 07601 2020-09-09
1649825233 Rachel Korenblit Social Worker 235 Main St Ste 203, Hackensack, NJ 07601 2019-08-09
1740846567 Samantha Pirnat Counselor 426 Hudson Street, 2nd Floor, Hackensack, NJ 07601 2019-05-16
1881258499 Tara Lynn Smith Social Worker 160 South River Street, Hackensack, NJ 07601 2019-04-29
1922569318 Solomon Isakov Dentist 835 Prospect Ave, Suite 304, Hackensack, NJ 07601 2019-03-27
1114403409 Mildred Lopez Vasquez Home Health Aide 12 Rowland Avenue, Hackensack, NJ 07601 2018-07-19
1538656582 Zara Pharmacy LLC Pharmacy 57 Linden St, Hackensack, NJ 07601 2018-04-16
1447759048 Maryann Hom Social Worker 307 Prospect Avenue, 14e, Hackensack, NJ 07601 2018-02-08
1699274258 Kirsten Byrnes Psychologist Audrey Hepburn Children's House, Hackensack Umc, 12 Second St, Hackensack, NJ 07601 2018-02-08
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Taxonomy Information

Taxonomy Code 2080P0210X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Nephrology

Taxonomy Definition

A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174582951 Kenneth V Lieberman Pediatrics 30 Prospect Ave, Humc - Pediatric Center, Hackensack, NJ 07601-1914 2006-03-21

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1740815968 St. Luke's Warren Physician Group, PC Pediatrics 755 Memorial Pkwy Ste 207, Phillipsburg, NJ 08865-2773 2020-03-09
1053639492 Maria Josefina Sharma Pediatrics 63 Central Avenue, Passaic, NJ 07055 2010-05-10
1740825215 Stc Pediatrics LLC Pediatrics 100 Kings Way E Ste C, Sewell, NJ 08080-2238 2019-11-08
1225469489 Valeriya M Feygina Pediatrics 89 French St Fl 2, New Brunswick, NJ 08901 2013-12-12
1043594120 Mahmoud Loghman-adham Pediatrics 340 Kingsland St, Nutley, NJ 07110-1150 2011-10-06
1932365400 Joann Carlson Pediatrics 89 French St, New Brunswick, NJ 08901-1935 2008-08-04
1306968078 Cooper Pediatric Specialists Pediatrics 6400 Main St, Voorhees, NJ 08043-4606 2007-04-04
1154462687 Abraham Aviv Pediatrics 30 Bergen St, Admc 12 1205, Newark, NJ 07107-3000 2007-02-09
1508935248 Constancia Somera Uy Pediatrics 90 Bergen St, Doc 5100, Newark, NJ 07103-2425 2006-11-07
1215022231 Children's Healthcare Associates of New Jersey PC Pediatrics 1012 Laurel Oak Rd, Chop Care Network At Voorhees Scc, Voorhees, NJ 08043-3505 2006-10-04
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Competitor

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City HACKENSACK
Zip Code 07601

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Dataset Information

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.

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