Mr. Leonard Staller, PA
Urology in Clifton, New Jersey
1720015183- Practice location
- 1033 Clifton Ave, Clifton, NJ 07013-3517
- Phone
- 973-473-5700
- Fax
- 973-473-3367
- Last updated
- March 10, 2022
Leonard Staller is an Urology based in Clifton, NJ. Leonard Staller practices in Clifton, NJ and has the professional credentials of PA. The NPI Number for Leonard Staller is 1720015183 and holds a License No. 25MP00001000 (NJ). The current practice location address for Leonard Staller is 1033 Clifton Ave, Clifton, NJ 07013-3517 and can be reached out via phone at 973-473-5700 and via fax at 973-473-3367.
Provider Profile Details
- NPI Number
- 1720015183
- Provider Name
- Leonard Staller
- Credential
- PA
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1033 Clifton Ave, Clifton, NJ 07013-3517
- Phone Number
- 973-473-5700
- Fax Number
- 973-473-3367
- Primary Taxonomy
- Urology · 208800000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 28, 2006
- Last Update Date
- March 10, 2022
- Certification Date
- March 10, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1033 Clifton Ave
Clifton, NJ 07013-3517 - City
- Clifton
- State
- New Jersey
- Zip
- 07013-3517
- Phone Number
- 973-473-5700
- Fax Number
- 973-473-3367
Provider Business Mailing Address Details
- Address
- 296 N 5TH Ave
Highland Park, NJ 08904-2953 - City
- Highland Park
- State
- NJ
- Zip
- 08904-2953
- Phone Number
- 732-253-0088
License Information
- License Number
- 25MP00001000
- License State
- NJ
- Taxonomy
- Urology · 208800000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Urology providers near Clifton, NJ
View all Urology providers in Clifton →Frequently Asked Questions
What is the NPI number of Mr. Leonard Staller, PA?
The NPI number of Mr. Leonard Staller, PA is 1720015183. It was assigned on June 28, 2006 and is currently active in the NPPES registry.
What is the specialty of Mr. Leonard Staller, PA?
Mr. Leonard Staller, PA is registered under the primary taxonomy Urology (code 208800000X), licensed in NJ under license number 25MP00001000.
Where does Mr. Leonard Staller, PA practice?
The practice location is 1033 Clifton Ave, Clifton, NJ 07013-3517. The office can be reached at 973-473-5700 (phone) or 973-473-3367 (fax).
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 1720015183 directly on the NPPES registry website.