Ada Baisre-De Leon, MD
Pathology, Neuropathology in Newark, New Jersey
1407015373- Practice location
- 185 S Orange Ave, Msb C557, Newark, NJ 07103-2757
- Phone
- 973-972-7167
- Fax
- —
- Last updated
- August 21, 2013
Ada Baisre-De Leon is a Pathology, Neuropathology based in Newark, NJ. Ada Baisre-De Leon practices in Newark, NJ and has the professional credentials of MD. The NPI Number for Ada Baisre-De Leon is 1407015373 and holds a License No. 25MA08631000 (NJ). The current practice location address for Ada Baisre-De Leon is 185 S Orange Ave, Msb C557, Newark, NJ 07103-2757 and can be reached out via phone at 973-972-7167.
Provider Profile Details
- NPI Number
- 1407015373
- Provider Name
- Ada Baisre-De Leon
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 185 S Orange Ave, Msb C557, Newark, NJ 07103-2757
- Phone Number
- 973-972-7167
- Primary Taxonomy
- Pathology, Neuropathology · 207ZN0500X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 5, 2008
- Last Update Date
- August 21, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 185 S Orange Ave
Msb C557
Newark, NJ 07103-2757 - City
- Newark
- State
- New Jersey
- Zip
- 07103-2757
- Phone Number
- 973-972-7167
Provider Business Mailing Address Details
- Address
- 185 S Orange Ave
Msb C557
Newark, NJ 07103-2757 - City
- Newark
- State
- NJ
- Zip
- 07103-2757
- Phone Number
- 973-972-7167
License Information
- License Number (1)
- 25MA08631000
- License State (1)
- NJ
- Taxonomy (1)
- Pathology, Molecular Genetic Pathology · 207ZP0007X
- License Number (2)
- 25MA08631000
- License State (2)
- NJ
- Taxonomy (2)
- Pathology, Neuropathology · 207ZN0500X · Primary
- License Number (3)
- 25MA08631000
- License State (3)
- NJ
- Taxonomy (3)
- Pathology, Anatomic Pathology & Clinical Pathology · 207ZP0102X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Ada Baisre-De Leon, MD?
The NPI number of Ada Baisre-De Leon, MD is 1407015373. It was assigned on June 5, 2008 and is currently active in the NPPES registry.
What is the specialty of Ada Baisre-De Leon, MD?
Ada Baisre-De Leon, MD is registered under the primary taxonomy Pathology, Neuropathology (code 207ZN0500X), licensed in NJ under license number 25MA08631000.
Where does Ada Baisre-De Leon, MD practice?
The practice location is 185 S Orange Ave, Msb C557, Newark, NJ 07103-2757. The office can be reached at 973-972-7167 (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 1407015373 directly on the NPPES registry website.