DR. LEON WALLER (NPI# 1497847131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497847131 |
| Entity Type | Individual |
| Full Name | DR. LEON WALLER |
| Credential | M.D. |
| Practice Address |
50 Pompton Ave Verona NJ 07044-2917 |
| Mailing Address |
59 Koch Ave Morris Plains NJ 07950-4400 |
| Practice Telephone | 2018960900 |
| Practice Fax Number | 2018962627 |
| Mailing Telephone | 9735381800 |
| Mailing Fax Number | 9738898799 |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2017-04-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | MB340004 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | AETNA | 514375 | 01 |
| Street Address |
50 POMPTON AVE |
| City | VERONA |
| State | NJ |
| Zip Code | 07044-2917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790249993 | Hannah Pienciak | Nurse Practitioner | 50 Pompton Ave, Verona, NJ 07044-2917 | 2019-01-22 |
| 1386116051 | Danielle Ashton Marquise | Nurse Practitioner | 50 Pompton Ave, Verona, NJ 07044-2917 | 2018-12-19 |
| 1598286718 | Mackenzie Paige Specchio | Physician Assistant | 50 Pompton Ave, Verona, NJ 07044-2917 | 2017-06-28 |
| 1871033217 | Bianca Ayubi | Physician Assistant | 50 Pompton Ave, Verona, NJ 07044-2917 | 2017-03-05 |
| 1629447628 | Mindy Parisi | Nurse Practitioner | 50 Pompton Ave, Verona, NJ 07044-2917 | 2015-09-20 |
| 1386985224 | First Care Medical Group Inc | Non-Pharmacy Dispensing Site | 50 Pompton Ave, Verona, NJ 07044-2917 | 2013-03-01 |
| 1558606954 | Colleen Snyder | Physician Assistant | 50 Pompton Ave, Verona, NJ 07044-2917 | 2012-12-11 |
| 1619227832 | Danielle Joanna Desantis | Physician Assistant | 50 Pompton Ave, Verona, NJ 07044-2917 | 2012-09-14 |
| 1184988628 | Santhosh Chakilam | Internal Medicine | 50 Pompton Ave, Verona, NJ 07044-2917 | 2012-06-29 |
| 1578846838 | Pamela Maliavsky | Physician Assistant | 50 Pompton Ave, Verona, NJ 07044-2917 | 2011-09-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831726017 | John Roland Yeiser IIi | Student in an Organized Health Care Education/Training Program | Mountainside Family Practice Group, 799 Bloomfield Ave, 2nd Floor, Verona, NJ 07044 | 2020-03-26 |
| 1962989582 | Karen E Carlough | Massage Therapist | 80 Pompton Ave, 3rd Floor, Verona, NJ 07044 | 2018-07-26 |
| 1063935302 | Our House, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 21 Green Acres, #75, Verona, NJ 07044 | 2017-07-19 |
| 1891224150 | Karen Gorman | Counselor | 12 Kenwood Ave, Verona, NJ 07044 | 2017-06-08 |
| 1154706208 | Leonard Gallo | Counselor | 3 Overhill Rd, Verona, NJ 07044 | 2015-07-29 |
| 1932527082 | Ekta Sharma | Family Medicine | 799 Bloomfield Avenue, Ste 201, Verona, NJ 07044 | 2014-04-04 |
| 1457676454 | Nadine Lauer | Marriage & Family Therapist | 685 Bloomfield Ave, Suite 201, Verona, NJ 07044 | 2010-04-01 |
| 1003147026 | Anthony Goss | Occupational Therapist | 276 Linden Avenue, Verona, NJ 07044 | 2010-01-15 |
| 1487836243 | Jerome Geyer | Dentist | 338 Bloomfield Avenue, Verona, NJ 07044 | 2007-12-03 |
| 1942407861 | Satya D Narisety | Allergy & Immunology | 197 Bloomfield Avenue, Verona, NJ 07044 | 2007-07-03 |
| Find all providers in zip 07044 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518113596 | Judith A Prestifilippo | Internal Medicine | 5 Parsons Ct, Verona, NJ 07044-1514 | 2008-08-11 |
| 1053571240 | Phillip R. Levine | Internal Medicine | 39 Winding Way, Verona, PA 15147-3886 | 2008-06-11 |
| 1154524866 | Franciska K. Kashanian | Internal Medicine | 3 Roberts Ct, Verona, NJ 07044-5114 | 2007-06-08 |
| 1306051073 | Walter Howard Green | Internal Medicine | 16 Fort River Rd, Verona, VA 24482-0951 | 2007-05-14 |
| 1225134695 | First Care Medical Group, Inc | Internal Medicine | 50 Pompton Avenue, Verona, NJ 07044 | 2006-09-15 |
| 1437181773 | Fairview Medical | Internal Medicine | 43 Fairview Ave, Verona, NJ 07044 | 2006-07-07 |
| 1184651804 | Sheree Starrett | Internal Medicine | 62 Fairway Ave, Verona, NJ 07044-1009 | 2006-06-27 |
| 1700864386 | Priya Prabhakar Saxena | Internal Medicine | 6149 Saltsburg Rd, Penn Commons Building, Verona, PA 15147-3542 | 2006-01-04 |
| 1205240025 | Essex Primary Care PC | Internal Medicine | 825 Bloomfield Ave, Verona, NJ 07044-1366 | 2014-06-19 |
| 1184988628 | Santhosh Chakilam | Internal Medicine | 50 Pompton Ave, Verona, NJ 07044-2917 | 2012-06-29 |
| Find all providers in VERONA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.