Dipisa, Leonard Russell
Dipisa, Leonard Russell is an individual health care provider with primary practice located at 780 Rte 37 W Suite 310, Toms River NJ 08755-5059. He recently has 4 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Nuclear Cardiology. Allopathic & Osteopathic Physicians / Nuclear Cardiology is his primary health care specialty. Dipisa, Leonard Russell can be contacted via phone (732) 240-0599.Contact Information
Primary practice address
780 Rte 37 W Suite 310
Toms River NJ 08755-5059
Phone: (732) 240-0599
Fax: (732) 240-3039
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MA37725 | New Jersey |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 25MA03772500 | New Jersey |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 25MA03772500 | New Jersey |
| Allopathic & Osteopathic Physicians / Nuclear Cardiology | 207UN0901X | 25MA03772500 | New Jersey |
Profile Details
| NPI number | 1730176611 |
|---|---|
| LBN Legal business name | Dipisa, Leonard Russell |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 5th, 2005 |
| Last updated | Apr 11th, 2024 - about 5 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730176611 | NPPES |
| New Jersey | Other | D029592 | CDS |
| New Jersey | Other | MA37725 | CDS |
| New Jersey | MEDICAID | 4812107 | CDS |
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