Provider Demographics
NPI:1184603227
Name:SANDLER, LEONARD L (MD)
Entity type:Individual
Prefix:
First Name:LEONARD
Middle Name:L
Last Name:SANDLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:35 BEAVERSON BLVD STE 8C
Mailing Address - Street 2:
Mailing Address - City:BRICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08723-7861
Mailing Address - Country:US
Mailing Address - Phone:732-262-4262
Mailing Address - Fax:732-262-4317
Practice Address - Street 1:35 BEAVERSON BLVD STE 8C
Practice Address - Street 2:
Practice Address - City:BRICK
Practice Address - State:NJ
Practice Address - Zip Code:08723-7861
Practice Address - Country:US
Practice Address - Phone:732-262-4262
Practice Address - Fax:732-262-4319
Is Sole Proprietor?:No
Enumeration Date:2006-01-16
Last Update Date:2024-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA07733800207UN0901X
NJ25MA07733800207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207UN0901XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0007759198OtherAETNA
NJ223247181OtherHORIZON BCBS
NJ2422892000OtherAMERIHEALTH
2K6617OtherHEALTHNET
624Q31OtherEMPIRE BLUE CROSS
P00181530OtherRAILROAD MEDICARE
3631459OtherAETNA HMO
2062486OtherUNITED HEALTHCARE
223247181OtherCHN
223247181009OtherQUALCARE
NJ40152OtherUNIVERSITY HEALTH PLAN
8221304OtherGHI
NJ0047571Medicaid
P3441630OtherOXFORD
P00181530OtherRAILROAD MEDICARE
223247181OtherCHN