Provider Demographics
NPI:1316417264
Name:LEUNG, KASEY (APN, FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:KASEY
Middle Name:
Last Name:LEUNG
Suffix:
Gender:F
Credentials:APN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:515 IRON BRIDGE RD STE 1
Mailing Address - Street 2:
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-5300
Mailing Address - Country:US
Mailing Address - Phone:732-303-6455
Mailing Address - Fax:732-303-6955
Practice Address - Street 1:515 IRON BRIDGE RD STE 1
Practice Address - Street 2:
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-5300
Practice Address - Country:US
Practice Address - Phone:732-303-6455
Practice Address - Fax:732-303-6955
Is Sole Proprietor?:No
Enumeration Date:2018-12-04
Last Update Date:2019-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00877200363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily