Jeffrey T Leary
Orthopaedic Surgeon Adult Reconstructive Orthopaedic Surgeon
550 Central Ave Ste 500
New Providence
, New Jersey 07974
Jeffrey T Leary
Orthopaedic Surgeon Adult Reconstructive Orthopaedic Surgeon
550 Central Ave Ste 500
New Providence
, New Jersey 07974
(973) 290-7495
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About
Features
Specialties
- Orthopaedic Surgeon
- Adult Reconstructive Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Jeffrey T Leary
- Po Box 416457
- Boston, MA
- Zip : 02241-6457
- Fax : (973) 290-7495
- Phone : (844) 362-1735
Second Address
- Jeffrey T Leary
- 550 Central Ave Ste 500
- New Providence, NJ
- Zip : 07974
- Fax : (908) 795-1193
- Phone : (908) 795-1192
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgeon | ME118641 | FL |
| Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 25MA08236500 | NJ |
National Provider Identifier
| NPI | 1033314042 |
|---|---|
| Provider Name | Jeffrey T Leary |
| First Address | Boston, MA 02241-6457 |
| Second Address | New Providence, NJ 07974 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/06/2007 |
| Last Update Date | 12/06/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 012468600 | (05) | FL |
| 0475777 | (05) | NJ |
| P01391881 | RAILROAD MEDICARE (01) | FL |
| PENDING | AETNA (01) | FL |
| PENDING | BCBS (01) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.