Provider Demographics
NPI:1699814368
Name:LEIGH S ENDE MD LLC
Entity Type:Organization
Organization Name:LEIGH S ENDE MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LEIGH
Authorized Official - Middle Name:S
Authorized Official - Last Name:ENDE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-366-5565
Mailing Address - Street 1:715 STATE ROUTE 10
Mailing Address - Street 2:
Mailing Address - City:RANDOLPH
Mailing Address - State:NJ
Mailing Address - Zip Code:07869-2025
Mailing Address - Country:US
Mailing Address - Phone:973-366-5565
Mailing Address - Fax:973-361-2308
Practice Address - Street 1:715 STATE ROUTE 10
Practice Address - Street 2:
Practice Address - City:RANDOLPH
Practice Address - State:NJ
Practice Address - Zip Code:07869-2025
Practice Address - Country:US
Practice Address - Phone:973-366-5565
Practice Address - Fax:973-361-2308
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-06
Last Update Date:2013-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJEN21816Medicare ID - Type Unspecified
NJC52572Medicare UPIN