DR. DORA LEIBU (NPI# 1609271493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609271493 |
| Entity Type | Individual |
| Full Name | DR. DORA LEIBU |
| Credential | D.O |
| Practice Address |
477 Route 10 E Randolph NJ 07869-2142 |
| Mailing Address |
213 Wert Ave Apt. B Hamilton NJ 08610-4522 |
| Practice Telephone | 8622603020 |
| Practice Fax Number | 9733286869 |
| Mailing Telephone | 7247574591 |
| Enumeration Date | 2014-10-23 |
| Last Update Date | 2019-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 25MB10154000 | NJ | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 016128 | PA | Allopathic & Osteopathic Physicians |
| Street Address |
477 ROUTE 10 E |
| City | RANDOLPH |
| State | NJ |
| Zip Code | 07869-2142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497892996 | Richard Nathaniel Walker | Ophthalmology | 477 Route 10 E, Suite 103, Randolph, NJ 07869-2142 | 2007-01-31 |
| 1558721209 | Terri Lynn Brucato | Chiropractor | 477 Route 10 E, Suite 201, Randolph, NJ 07869-2142 | 2016-02-23 |
| 1831522622 | Excel Treatment Center of Randolph, LLC | Clinic/Center | 477 Route 10 E, Suite 206, Randolph, NJ 07869-2142 | 2013-08-15 |
| 1699074427 | Danielle Rossy | Student in an Organized Health Care Education/Training Program | 477 Route 10 E, Randolph, NJ 07869-2142 | 2011-03-18 |
| 1417085937 | Lisa Vettemvely Joseph | Internal Medicine | 477 Route 10 E, Randolph, NJ 07869-2142 | 2007-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699398149 | Jaclyn Philbin | Dietitian, Registered | 11 Middlebury Boulevard, Suite 9/10, Randolph, NJ 07869 | 2020-05-19 |
| 1548806896 | Daniel Patrick Walsh | Physical Therapist | 390 Route Nj 10, Suite 202, Randolph, NJ 07869 | 2019-11-21 |
| 1518516061 | New Jersey Center for Cognitive and Dialectical Behavior Therapy | Clinic/Center | 1250 Sussex Tpke Ste N, Randolph, NJ 07869 | 2019-09-07 |
| 1396306031 | Marilyn (lynn) G Teale | Specialist/Technologist | 1248 Sussex Tpk, Unit B11, Randolph, NJ 07869 | 2019-06-24 |
| 1497218580 | Christopher Lamorte | Dentist | 390 Nj-10 West, Randolph, NJ 07869 | 2019-04-07 |
| 1982101309 | Essex County Weightloss, LLC | Family Medicine | 81 State Road 10 East, Randolph, NJ 07869 | 2018-04-11 |
| 1699285569 | Raechel Jean Lofaro | Nurse Practitioner | 8 Chestnut Hil Road, Randolph, NJ 07869 | 2017-10-05 |
| 1851800114 | Stephanie Jasinski | Counselor | 19 Harmony Rd, Randolph, NJ 07869 | 2017-09-29 |
| 1144739244 | Dickerson Dental Group, LLC | Dentist | 714 Route 10, Randolph, NJ 07869 | 2017-09-21 |
| 1053831479 | Melissa Morgan | Pediatrics | College Plaza Pediatrics, 765 Route 10 East, Ste 203, Randolph, NJ 07869 | 2017-06-27 |
| Find all providers in zip 07869 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982101309 | Essex County Weightloss, LLC | Family Medicine | 81 State Road 10 East, Randolph, NJ 07869 | 2018-04-11 |
| 1265808265 | Nicole Alexis Lopez | Family Medicine | 32 S Main St Ste 100, Randolph, MA 02368-4835 | 2015-08-13 |
| 1942596358 | Gary S. Safier Do, PC | Family Medicine | 477 Route 10 E Ste 204, Randolph, NJ 07869-2144 | 2011-06-23 |
| 1346331717 | Susan M Palmer | Family Medicine | 714 Route 10 W, Randolph, NJ 07869-2058 | 2006-09-28 |
| 1558478529 | Gary S Safier | Family Medicine | 477 Rt 10 E, St 204, Randolph, NJ 07869 | 2006-08-24 |
| 1336102169 | Melissa Elaine Lucarelli | Family Medicine | 504 S High Street, Randolph, WI 53956 | 2006-04-11 |
| 1164416228 | Carmel M Kelly | Family Medicine | 1093 N Main St, Randolph, MA 02368-2100 | 2005-09-06 |
| 1538666946 | Mw Wellness Vii, LLC | Family Medicine | 81 State Road 10 East, Randolph, NJ 07869 | 2018-04-11 |
| 1326434713 | Emilija O Florance | Family Medicine | 44 S Main St, Randolph, VT 05060 | 2015-04-13 |
| 1750559340 | Family Medicine Associates of Randolph LLC | Family Medicine | 121 Center Grove Rd, Suite 5, Randolph, NJ 07869-4453 | 2008-02-15 |
| Find all providers in RANDOLPH | ||||
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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.