Basic Information
| Provider Information | |||||||||
| NPI: | 1346355708 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LEFF | ||||||||
| FirstName: | SHERYL | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 340 KINDERKAMACK RD | ||||||||
| Address2: | |||||||||
| City: | ORADELL | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 076492121 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2012622200 | ||||||||
| FaxNumber: | 2012621553 | ||||||||
| Practice Location | |||||||||
| Address1: | 95 MADISON AVE | ||||||||
| Address2: | SUITE 107 | ||||||||
| City: | MORRISTOWN | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 079606092 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9739841111 | ||||||||
| FaxNumber: | 9739841190 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/19/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2085R0202X | NJ | Y | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Radiology |
ID Information
| ID | Type | State | Issuer | Description | 8049807 | 05 | NJ | MEDICAID |