Provider Demographics
NPI:1114063872
Name:ROBIN ELLEN LEDER, M.D., L.L.C.
Entity Type:Organization
Organization Name:ROBIN ELLEN LEDER, M.D., L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:ELLEN
Authorized Official - Last Name:LEDER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-525-1155
Mailing Address - Street 1:235 PROSPECT AVE
Mailing Address - Street 2:SUITE LB
Mailing Address - City:HACKENSACK
Mailing Address - State:NJ
Mailing Address - Zip Code:07601-2510
Mailing Address - Country:US
Mailing Address - Phone:201-525-1155
Mailing Address - Fax:
Practice Address - Street 1:235 PROSPECT AVE
Practice Address - Street 2:SUITE LB
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-2510
Practice Address - Country:US
Practice Address - Phone:201-525-1155
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty