Active NPIIndividual provider

Brian P Leonhardt, PA-C

Physician Assistant, Surgical in Willingboro, New Jersey

NPI Number1114560851
Practice location
1113 Hospital Drive Professional Building East, Suite 100, Willingboro, NJ 08046
Fax
—
Last updated
February 3, 2025

Brian Paul Leonhardt is a Physician Assistant, Surgical based in Willingboro, NJ. Brian Paul Leonhardt practices in Willingboro, NJ and has the professional credentials of PA-C. The NPI Number for Brian Paul Leonhardt is 1114560851 and holds a License No. 25MP00551300 (NJ). The current practice location address for Brian Paul Leonhardt is 1113 Hospital Drive Professional Building East, Suite 100, Willingboro, NJ 08046 and can be reached out via phone at 609-835-5821.

Provider Profile Details

NPI Number
1114560851
Provider Name
Brian Paul Leonhardt
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
1113 Hospital Drive Professional Building East, Suite 100, Willingboro, NJ 08046
Phone Number
609-835-5821
Primary Taxonomy
Physician Assistant, Surgical · 363AS0400X
Sole Proprietor
No
Provider Enumeration Date
October 25, 2019
Last Update Date
February 3, 2025
Certification Date
February 3, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
1113 Hospital Drive Professional Building East
Suite 100
Willingboro, NJ 08046
Zip
08046
Phone Number
609-835-5821
Willingboro, NJ 08046Get directions →

Provider Business Mailing Address Details

Address
301 Lippincott Dr Ste 410
Marlton, NJ 08053-4197
City
Marlton
State
NJ
Zip
08053-4197
Phone Number
856-355-0340
Fax Number
856-355-0330

License Information

License Number
25MP00551300
License State
NJ
Taxonomy
Physician Assistant, Surgical · 363AS0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Brian P Leonhardt, PA-C?

The NPI number of Brian P Leonhardt, PA-C is 1114560851. It was assigned on October 25, 2019 and is currently active in the NPPES registry.

What is the specialty of Brian P Leonhardt, PA-C?

Brian P Leonhardt, PA-C is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in NJ under license number 25MP00551300.

Where does Brian P Leonhardt, PA-C practice?

The practice location is 1113 Hospital Drive Professional Building East, Suite 100, Willingboro, NJ 08046. The office can be reached at 609-835-5821 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114560851 directly on the NPPES registry website.

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