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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080P0210X |
Pediatrics Specialization: Pediatric Nephrology |
25MA07761200 | NJ | Allopathic & Osteopathic Physicians |
Street Address |
30 PROSPECT AVE |
City | HACKENSACK |
State | NJ |
Zip Code | 07601-1914 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 07601 |
Taxonomy Code | 2080P0210X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Pediatric Nephrology |
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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174582951 | Kenneth V Lieberman | Pediatrics | 30 Prospect Ave, Humc - Pediatric Center, Hackensack, NJ 07601-1914 | 2006-03-21 |
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 |
Find all providers with the same taxonomy |
City | HACKENSACK |
Zip Code | 07601 |
Please comment or provide details below to improve the information on DR. LEIGH MARK ETTINGER.
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.