Provider Demographics
NPI:1518933159
Name:NORTH JERSEY EYE ASSOCIATES PA
Entity Type:Organization
Organization Name:NORTH JERSEY EYE ASSOCIATES PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:LESKO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-472-4114
Mailing Address - Street 1:1005 CLIFTON AVE
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07013-3520
Mailing Address - Country:US
Mailing Address - Phone:973-472-4114
Mailing Address - Fax:973-472-0775
Practice Address - Street 1:1005 CLIFTON AVE
Practice Address - Street 2:
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07013-3520
Practice Address - Country:US
Practice Address - Phone:973-472-4114
Practice Address - Fax:973-472-0775
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-24
Last Update Date:2013-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ526330Medicare PIN
NJ0182670001Medicare NSC