Provider Demographics
NPI:1689688392
Name:RINGELSTEIN, LESLIE WINFIELD (NP)
Entity Type:Individual
Prefix:
First Name:LESLIE
Middle Name:WINFIELD
Last Name:RINGELSTEIN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 COUNTY RD
Mailing Address - Street 2:
Mailing Address - City:CLOSTER
Mailing Address - State:NJ
Mailing Address - Zip Code:07624-3020
Mailing Address - Country:US
Mailing Address - Phone:201-888-0524
Mailing Address - Fax:
Practice Address - Street 1:223 N VAN DIEN AVE
Practice Address - Street 2:
Practice Address - City:RIDGEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07450
Practice Address - Country:US
Practice Address - Phone:201-389-0808
Practice Address - Fax:012-389-1296
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2018-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NN04812800363LF0000X
NYF330849-12085R0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Not Answered2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02172021Medicaid
NY2E2821Medicare ID - Type Unspecified
NY02172021Medicaid