Provider Demographics
NPI:1982726691
Name:LEADING EDGE MEDICAL, INC.
Entity Type:Organization
Organization Name:LEADING EDGE MEDICAL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES
Authorized Official - Prefix:MR
Authorized Official - First Name:ELLIOT
Authorized Official - Middle Name:
Authorized Official - Last Name:KAUFMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-658-3535
Mailing Address - Street 1:30 DUNCAN DR
Mailing Address - Street 2:
Mailing Address - City:MORGANVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07751-1649
Mailing Address - Country:US
Mailing Address - Phone:732-536-4111
Mailing Address - Fax:732-972-5176
Practice Address - Street 1:30 DUNCAN DR
Practice Address - Street 2:
Practice Address - City:MORGANVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07751-1649
Practice Address - Country:US
Practice Address - Phone:732-658-3535
Practice Address - Fax:732-658-3535
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies