Provider Demographics
NPI:1790757870
Name:LEFKOWITZ, JEFFREY (MD)
Entity Type:Individual
Prefix:
First Name:JEFFREY
Middle Name:
Last Name:LEFKOWITZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11-26 SADDLE RIVER RD
Mailing Address - Street 2:
Mailing Address - City:FAIR LAWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07410-5634
Mailing Address - Country:US
Mailing Address - Phone:201-796-9200
Mailing Address - Fax:201-796-7606
Practice Address - Street 1:11-26 SADDLE RIVER RD
Practice Address - Street 2:
Practice Address - City:FAIR LAWN
Practice Address - State:NJ
Practice Address - Zip Code:07410-5634
Practice Address - Country:US
Practice Address - Phone:201-796-9200
Practice Address - Fax:201-796-7606
Is Sole Proprietor?:No
Enumeration Date:2006-02-03
Last Update Date:2008-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA049671207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ576659OtherCROWN CORK AND SEAL
NJ001445954001OtherUNITED HEALTHCARE
13B96OtherWELLCHOICE
NJP667520OtherOXFORD
13B96OtherEMPIRE BLUE CROSS
NJ5509384OtherAETNA
NJ0K1680OtherHEALTHNET
37833043OtherMVP
NJ110141904Medicare PIN
NJ576659OtherCROWN CORK AND SEAL
NJP667520OtherOXFORD