DR. STEVE LEQUERICA (NPI# 1881689495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881689495 |
| Entity Type | Individual |
| Full Name | DR. STEVE LEQUERICA |
| Credential | MD |
| Practice Address |
905 Allwood Rd Suite 105 Clifton NJ 07012-1945 |
| Practice Telephone | 9734713680 |
| Practice Fax Number | 9734716360 |
| Mailing Telephone | 9734713680 |
| Mailing Fax Number | 9734716360 |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2012-06-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
25MA04606800 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0357901 | 05 | |
| NJ | UNITED HEALTHCARE | 1340273 | 01 |
| NJ | AMERIGROUP | 10780 | 01 |
| AETNA | 4516374 | 01 | |
| OXFORD | PS225 | 01 | |
| HEALTHNET | OK1390 | 01 | |
| NJ | AMERICHOICE | 0100004850 | 01 |
| RAILROAD MEDICARE | 130005561 | 01 |
| Street Address |
905 ALLWOOD RD SUITE 105 |
| City | CLIFTON |
| State | NJ |
| Zip Code | 07012-1945 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841293024 | Elizabeth Coll | Nurse Practitioner | 905 Allwood Rd, Suite 204, Clifton, NJ 07012-1945 | 2005-05-23 |
| 1831735166 | One Oak Medical Group, LLC | Specialist | 905 Allwood Rd, Clifton, NJ 07012-1945 | 2019-11-21 |
| 1346881836 | Carmen Kotry | Physician Assistant | 905 Allwood Rd, Clifton, NJ 07012-1945 | 2019-10-05 |
| 1427281351 | The Clifton Center for Oral Surgery and Jaw Reconstruction LLC | Clinic/Center | 905 Allwood Rd, Suite 202, Clifton, NJ 07012-1945 | 2009-08-26 |
| 1801031620 | Timothy M White | Physician Assistant | 905 Allwood Rd, Suite 204, Clifton, NJ 07012-1933 | 2008-12-08 |
| 1467632364 | Ivan Chen | Physical Medicine & Rehabilitation | 905 Allwood Rd, Ste 200, Clifton, NJ 07012-1945 | 2007-11-07 |
| 1518037068 | General and Vascular Surgical Associates of North Jersey, P.a. | Surgery | 905 Allwood Rd, Suite 204, Clifton, NJ 07012-1933 | 2006-11-09 |
| 1871681163 | Joseph Benjamin Baratta | Surgery | 905 Allwood Rd, Suite 204, Clifton, NJ 07012-1933 | 2006-10-11 |
| 1497704373 | Anil Agarwal | Internal Medicine | 905 Allwood Rd, Suite 101, Clifton, NJ 07012-1933 | 2006-05-09 |
| 1023075991 | Meenoo Agarwal | Anesthesiology | 905 Allwood Rd, Suite 101, Clifton, NJ 07012-1945 | 2006-04-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528428307 | Sofia Konvitz | Behavioral Analyst | 743 Passaic Ave, Suite 109, Clifton, NJ 07012 | 2016-03-07 |
| 1881065118 | Renita Farkas I | Registered Nurse | 777 Bloomfield Avenue, Clifton, NJ 07012 | 2015-10-13 |
| 1619374402 | Lorraine Brenner | Dentist | 1053 Bloomfield Ave Ste 14, Clifton, NJ 07012 | 2014-11-23 |
| 1861897878 | Melissa Langewisch | General Acute Care Hospital | 3 Englewood Road, Clifton, NJ 07012 | 2014-11-03 |
| 1043637192 | Fadwa Sumrein | Internal Medicine | 2 Brighton Rd Ste 400, Clifton, NJ 07012 | 2014-03-26 |
| 1386067841 | Rita Mary Grazulis | Dentist | 91 Nugent Drive, Clifton, NJ 07012 | 2014-02-03 |
| 1366721573 | John P Castronova | Dentist | 79 Ave U, Brooklyn, NJ 07012 | 2011-08-05 |
| 1477849164 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 550 Allwood Rd, Clifton, NJ 07012 | 2011-06-22 |
| 1487805784 | Dron Gauchan | Internal Medicine | 74a Richfield Ct, Clifton, NJ 07012 | 2008-10-05 |
| 1497930283 | Coreen Christie | Counselor | 777 Bloomfiled Ave, Suite B, Clifton, NJ 07012 | 2007-12-31 |
| Find all providers in zip 07012 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780014415 | Clifton Medical Pain & Rehabilitation Center | Psychiatry & Neurology | 505 Lexington Ave, Clifton, NJ 07011-1935 | 2013-11-15 |
| 1376877159 | Lynne Carmickle | Psychiatry & Neurology | 1136 Clifton Ave, Clifton, NJ 07013-3622 | 2009-09-25 |
| 1306006242 | Fawad A Mian | Psychiatry & Neurology | 246 Barkley Avenue, Clifton, NJ 07011 | 2008-06-13 |
| 1083600662 | Avery Seth Katz | Psychiatry & Neurology | 4 Brighton Rd, Clifton, NJ 07012-1664 | 2005-09-20 |
| 1871875955 | Passaic Sleep Medicine & Neurological Services PC | Psychiatry & Neurology | 1114 Clifton Ave, Suite4, Clifton, NJ 07013-3636 | 2011-09-14 |
| 1508182452 | Nicole Melissa Conroy | Psychiatry & Neurology | 1135 Broad St, Clifton, Clifton, NJ 07013-3346 | 2010-04-18 |
| 1427374594 | Shital P Shah | Psychiatry & Neurology | 4 Brighton Rd, Clifton, NJ 07012-1664 | 2010-04-14 |
| 1205872785 | Myrna B. Tagayun | Psychiatry & Neurology | 1199 Main Ave, Suite 5, Clifton, NJ 07011-2253 | 2006-06-21 |
| 1063407674 | Neurology Group of North Jersey Pa | Psychiatry & Neurology | 905 Allwood Rd, Suite 105, Clifton, NJ 07012-1946 | 2005-09-20 |
| 1518952803 | Stanley Joel Knep | Psychiatry & Neurology | 905 Allwood Rd, Suite 105, Clifton, NJ 07012-1945 | 2005-09-13 |
| Find all providers in CLIFTON | ||||
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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.