Mrs. Jaclyn M Leitner, PA-C
Physician Assistant in Fair Lawn, New Jersey
1780861724- Practice location
- 31-00 Broadway, Fair Lawn, NJ 07410-3963
- Phone
- 201-796-2255
- Fax
- 201-796-7020
- Last updated
- May 4, 2026
Jaclyn Melissa Leitner is a Physician Assistant based in Fair Lawn, NJ. Jaclyn Melissa Leitner practices in Fair Lawn, NJ and has the professional credentials of PA-C. The NPI Number for Jaclyn Melissa Leitner is 1780861724 and holds a License No. 25MP00188300 (NJ). The current practice location address for Jaclyn Melissa Leitner is 31-00 Broadway, Fair Lawn, NJ 07410-3963 and can be reached out via phone at 201-796-2255 and via fax at 201-796-7020.
Provider Profile Details
- NPI Number
- 1780861724
- Provider Name
- Jaclyn Melissa Leitner
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 31-00 Broadway, Fair Lawn, NJ 07410-3963
- Phone Number
- 201-796-2255
- Fax Number
- 201-796-7020
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 22, 2008
- Last Update Date
- May 4, 2026
- Certification Date
- May 4, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 31-00 Broadway
Fair Lawn, NJ 07410-3963 - City
- Fair Lawn
- State
- New Jersey
- Zip
- 07410-3963
- Phone Number
- 201-796-2255
- Fax Number
- 201-796-7020
Provider Business Mailing Address Details
- Address
- 300 Adams St
Apt 510
Hoboken, NJ 07030-2631 - City
- Hoboken
- State
- NJ
- Zip
- 07030-2631
- Phone Number
- 201-491-3449
License Information
- License Number (1)
- 25MP00188300
- License State (1)
- NJ
- Taxonomy (1)
- Physician Assistant, Medical · 363AM0700X
- License Number (2)
- PA9116687
- License State (2)
- FL
- Taxonomy (2)
- Physician Assistant · 363A00000X · Primary
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 Mrs. Jaclyn M Leitner, PA-C?
The NPI number of Mrs. Jaclyn M Leitner, PA-C is 1780861724. It was assigned on January 22, 2008 and is currently active in the NPPES registry.
What is the specialty of Mrs. Jaclyn M Leitner, PA-C?
Mrs. Jaclyn M Leitner, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00188300.
Where does Mrs. Jaclyn M Leitner, PA-C practice?
The practice location is 31-00 Broadway, Fair Lawn, NJ 07410-3963. The office can be reached at 201-796-2255 (phone) or 201-796-7020 (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 1780861724 directly on the NPPES registry website.