Nicole Leo, DO
Family Medicine in Marmora, New Jersey
1952340077- Practice location
- 4 W Roosevelt Blvd Ste 11&12, Marmora, NJ 08223-1441
- Phone
- 609-814-9550
- Fax
- 609-390-3511
- Last updated
- June 19, 2023
Nicole Leo is a Family Medicine based in Marmora, NJ. Nicole Leo practices in Marmora, NJ and has the professional credentials of DO. The NPI Number for Nicole Leo is 1952340077 and holds a License No. 25MB07318600 (NJ). The current practice location address for Nicole Leo is 4 W Roosevelt Blvd Ste 11&12, Marmora, NJ 08223-1441 and can be reached out via phone at 609-814-9550 and via fax at 609-390-3511.
Provider Profile Details
- NPI Number
- 1952340077
- Provider Name
- Nicole Leo
- Credential
- DO
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 4 W Roosevelt Blvd Ste 11&12, Marmora, NJ 08223-1441
- Phone Number
- 609-814-9550
- Fax Number
- 609-390-3511
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 5, 2006
- Last Update Date
- June 19, 2023
- Certification Date
- June 19, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 4 W Roosevelt Blvd Ste 11&12
Marmora, NJ 08223-1441 - City
- Marmora
- State
- New Jersey
- Zip
- 08223-1441
- Phone Number
- 609-814-9550
- Fax Number
- 609-390-3511
Provider Business Mailing Address Details
- Address
- 4 W Roosevelt Blvd Ste 11&12
Marmora, NJ 08223-1441 - City
- Marmora
- State
- NJ
- Zip
- 08223-1441
- Phone Number
- 609-390-0882
- Fax Number
- 609-390-3511
License Information
- License Number
- 25MB07318600
- License State
- NJ
- Taxonomy
- Family Medicine · 207Q00000X · 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 Nicole Leo, DO?
The NPI number of Nicole Leo, DO is 1952340077. It was assigned on June 5, 2006 and is currently active in the NPPES registry.
What is the specialty of Nicole Leo, DO?
Nicole Leo, DO is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NJ under license number 25MB07318600.
Where does Nicole Leo, DO practice?
The practice location is 4 W Roosevelt Blvd Ste 11&12, Marmora, NJ 08223-1441. The office can be reached at 609-814-9550 (phone) or 609-390-3511 (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 1952340077 directly on the NPPES registry website.