Active NPIIndividual providerSole proprietor

Antonios E Leontaris, PA

Physician Assistant in Hackettstown, New Jersey

NPI Number1679240782
Practice location
254B Mountain Ave Ste 100, Hackettstown, NJ 07840-2413
Fax
—
Last updated
November 30, 2023

Antonios Elias Leontaris is a Physician Assistant based in Hackettstown, NJ. Antonios Elias Leontaris practices in Hackettstown, NJ and has the professional credentials of PA. The NPI Number for Antonios Elias Leontaris is 1679240782 and holds a License No. 25MP00610900 (NJ). The current practice location address for Antonios Elias Leontaris is 254B Mountain Ave Ste 100, Hackettstown, NJ 07840-2413 and can be reached out via phone at 908-852-6400.

Provider Profile Details

NPI Number
1679240782
Provider Name
Antonios Elias Leontaris
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
254B Mountain Ave Ste 100, Hackettstown, NJ 07840-2413
Phone Number
908-852-6400
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
Yes
Provider Enumeration Date
August 26, 2021
Last Update Date
November 30, 2023
Certification Date
November 30, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
254B Mountain Ave Ste 100
Hackettstown, NJ 07840-2413
Zip
07840-2413
Phone Number
908-852-6400
Hackettstown, NJ 07840Get directions →

Provider Business Mailing Address Details

Address
Po Box 95000, Lb#7550
Philadelphia, PA 19195-7550
City
Philadelphia
State
PA
Zip
19195-7550
Phone Number
844-362-1735
Fax Number
973-290-7495

License Information

License State (1)
NJ
Taxonomy (1)
Physician Assistant · 363A00000X
License Number (2)
25MP00610900
License State (2)
NJ
Taxonomy (2)
Physician Assistant · 363A00000X · 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 Antonios E Leontaris, PA?

The NPI number of Antonios E Leontaris, PA is 1679240782. It was assigned on August 26, 2021 and is currently active in the NPPES registry.

What is the specialty of Antonios E Leontaris, PA?

Antonios E Leontaris, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00610900.

Where does Antonios E Leontaris, PA practice?

The practice location is 254B Mountain Ave Ste 100, Hackettstown, NJ 07840-2413. The office can be reached at 908-852-6400 (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 1679240782 directly on the NPPES registry website.

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