Amanda Leadem, OT is a
Physical Medicine & Rehabilitation - Pediatric Rehabilitation Medicine physician based in Forked River, New Jersey. Amanda Leadem is licensed to practice in New Jersey (license number 46TR00496100) and her current practice location is 1007 Inland Rd, Forked River, New Jersey. She can be reached at her office (for appointments etc.) via phone at
(732) 761-0088.
NPI number for Amanda Leadem is 1639424252 and her current mailing address is 1007 Inland Rd, Forked River, New Jersey. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1639424252.
Physician's Profile
Full Name | Amanda Leadem |
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Gender | Female |
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Speciality | Physical Medicine & Rehabilitation - Pediatric Rehabilitation Medicine |
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Location | 1007 Inland Rd, Forked River, New Jersey |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1639424252
- Provider Enumeration Date: 07/19/2012
- Last Update Date: 01/31/2019
Medical Identifiers
Medical identifiers for Amanda Leadem such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1639424252 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2081P0010X | Physical Medicine & Rehabilitation - Pediatric Rehabilitation Medicine | 46TR00496100 (New Jersey) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amanda Leadem is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Amanda Leadem, OT 1007 Inland Rd, Forked River, NJ 08731-5209 Ph: () - | Amanda Leadem, OT 1007 Inland Rd, Forked River, NJ 08731-5209 Ph: (732) 761-0088 |
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