MARIO MENDES LEITAO JR. (NPI# 1225068372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225068372 |
| Entity Type | Individual |
| Full Name | MARIO MENDES LEITAO JR. |
| Credential | M.D. |
| Practice Address |
30 Bergen St Admc 12 1205 Newark NJ 07107-3000 |
| Practice Telephone | 9739720037 |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
25MA07727200 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0043800 | 05 |
| Street Address |
30 BERGEN ST ADMC 12 1205 |
| City | NEWARK |
| State | NJ |
| Zip Code | 07107-3000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235119686 | Susan V Garstang | Physical Medicine & Rehabilitation | 30 Bergen St, Admc 101, Newark, NJ 07107-3000 | 2006-01-20 |
| 1699225227 | University Physician Associates of New Jersey, Inc | Otolaryngology | 30 Bergen St, Admc 1205, Newark, NJ 07107-3000 | 2016-10-06 |
| 1083068217 | Ariel Patrice Sena | Student in an Organized Health Care Education/Training Program | 30 Bergen St, Admc 11 - Room 110, Newark, NJ 07107-3000 | 2016-04-13 |
| 1346694577 | Helena Gvili | Student in an Organized Health Care Education/Training Program | 30 Bergen St, Admc11 Rm 1110, Newark, NJ 07107-3000 | 2016-04-13 |
| 1124413265 | Tiffany Chan | Student in an Organized Health Care Education/Training Program | 30 Bergen St, Emergency Medicine, Admc-11, Rm 1110, Newark, NJ 07107-3000 | 2015-04-06 |
| 1801152939 | Subhanir Sunil Chitnis | Emergency Medicine | 30 Bergen St, Admc 11, Room 1110, Newark, NJ 07107-3000 | 2012-04-03 |
| 1659647873 | Chidinma Dawn Kabba | Emergency Medicine | 30 Bergen St, Admc 11 Room 1110, Newark, NJ 07107-3000 | 2012-04-02 |
| 1407122328 | Joseph Alan Rogers | Student in an Organized Health Care Education/Training Program | 30 Bergen St, Admc 11 Room 1110, Newark, NJ 07107-3000 | 2012-03-26 |
| 1477842631 | Suzanne A Katsetos | Emergency Medicine | 30 Bergen St, Admc 11, Rm 1110, Newark, NJ 07107-3000 | 2011-03-28 |
| 1669603387 | Tobechukwu Clouden | Psychiatry & Neurology | 30 Bergen St, Newark, NJ 07107-3000 | 2009-07-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134747272 | Kobie Blair Morgan | Counselor | Kobie Blair Morgan, Esq., Mba, Ma, Lpc, 76-78 First Street, Suite 3, Newark, NJ 07107 | 2020-07-06 |
| 1811522634 | Yasheika Hermitt South | Licensed Practical Nurse | North 11th Street, Newark, NJ 07107 | 2020-03-12 |
| 1568941375 | Orange Street Spec LLC | Dentist | 509a Orange Street Suite A, Newark, NJ 07107 | 2018-08-13 |
| 1548617103 | Jose Andres Morales | Case Manager/Care Coordinator | 541 Roseville Av., Newark, NJ 07107 | 2016-05-24 |
| 1053743997 | Center for Wound Science and Healing | General Acute Care Hospital | 495 North 13th Street, 2nd Floor, Newark, NJ 07107 | 2013-08-02 |
| 1750620944 | Jeevan M Mathew | Physical Therapist | 500 0range Street, Suite 2, Newark, NJ 07107 | 2013-02-07 |
| 1982967386 | D & M Quality of Life Services, LLP | In Home Supportive Care | 285 Roseville Avenue, Suite 118, Newark, NJ 07107 | 2012-06-20 |
| 1710121496 | Paul Hsu | Pharmacist | 421 Bloomfield Ave, Guardys, Newark, NJ 07107 | 2009-04-27 |
| 1194969774 | Prescriptions Etc Inc. | Clinic/Center | 421 Bloomfield Ave., Guardys, Newark, NJ 07107 | 2009-04-27 |
| 1821269630 | Chandra Gupta | Pediatrics | 156 Roseville Avenue, Newark, NJ 07107 | 2008-03-19 |
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| Taxonomy Code | 207VX0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecologic Oncology |
| An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891721668 | Bernadette Marion Cracchiolo | Obstetrics & Gynecology | 140 Bergen St, Acc Level C, Newark, NJ 07103-2425 | 2006-06-24 |
| 1790786416 | Noah Adam Goldman | Obstetrics & Gynecology | 140 Bergen Street, Level C, Newark, NJ 07103 | 2005-08-03 |
| 1144229733 | Nicholas Reed | Obstetrics & Gynecology | 15 Messimer Dr, Newark, OH 43055-1841 | 2005-07-18 |
| 1386871689 | Jenna Z Marcus | Obstetrics & Gynecology | 185 S Orange Ave, Medical Science Building E536, Newark, NJ 07103-2757 | 2009-06-15 |
| 1548468259 | Stephanie Jean | Obstetrics & Gynecology | 4701 Ogletown Stanton Rd, Helen F. Graham Cancer Center West, S-2335, Newark, DE 19713-2055 | 2007-07-03 |
| 1811191604 | Akiva Pesach Novetsky | Obstetrics & Gynecology | 140 Bergen St # C, Newark, NJ 07103-2425 | 2007-06-13 |
| 1982628111 | Charles W Whitney | Obstetrics & Gynecology | 4923 Ogletown Stanton Rd, Suite 110, Newark, DE 19713-2081 | 2006-07-27 |
| 1912921149 | James E Larson | Obstetrics & Gynecology | 4923 Ogletown Stanton Rd, Suite 110, Newark, DE 19713-2081 | 2006-07-27 |
| 1730102914 | Christiana Gynecologic Oncology, LLC | Obstetrics & Gynecology | 4923 Ogletown Stanton Rd, Suite 110, Newark, DE 19713-2081 | 2006-07-26 |
| 1629058201 | Nicholas Petrelli | Obstetrics & Gynecology | 4701 Ogletown Stanton Rd, Suite 1213, Newark, DE 19713-2055 | 2006-01-19 |
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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.