Mr Leonard Staller, PA in Clifton, NJ - Medicare Physician Assistant

Mr Leonard Staller, PA is a medicare enrolled "Urology" physician in Clifton, New Jersey. He graduated from medical school in 1992 and has 32 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Summit Medical Group Pa and his current practice location is 1033 Clifton Ave, Clifton, New Jersey. You can reach out to his office (for appointments etc.) via phone at (973) 473-5700.

Mr Leonard Staller is licensed to practice in New Jersey (license number 25MP00001000) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1720015183.

Contact Information

	Mr Leonard Staller, PA
	1033 Clifton Ave, Clifton, NJ 07013-3517
	(973) 473-5700
	(973) 473-3367

Map and Direction

Physician's Profile

Full Name	Mr Leonard Staller
Gender	Male
Speciality	Physician Assistant
Experience	32 Years
Location	1033 Clifton Ave, Clifton, New Jersey
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Leonard Staller graduated from medical school in 1992

NPI Data:

NPI Number: 1720015183
Provider Enumeration Date: 06/28/2006
Last Update Date: 03/10/2022

Medicare PECOS Information:

PECOS PAC ID: 3173670452
Enrollment ID: I20090403000168

Medical Identifiers

Medical identifiers for Mr Leonard Staller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720015183	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208800000X	Urology	25MP00001000 (New Jersey)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Summit Medical Group Pa	5395642276	1247

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. Mr Leonard Staller is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Leonard Staller, PA 296 N 5th Ave, Highland Park, NJ 08904-2953 Ph: (732) 253-0088	Mr Leonard Staller, PA 1033 Clifton Ave, Clifton, NJ 07013-3517 Ph: (973) 473-5700

Reviews and Comments

Urology Doctors in Clifton, NJ

Venkata Koteswararao Marella, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1033 Clifton Ave, Clifton, NJ 07013 Phone: 973-473-5700 Fax: 973-473-3367
Dr. Mendley A Wulfsohn, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 1033 Clifton Ave, Clifton, NJ 07013 Phone: 973-473-5700 Fax: 973-473-3367
Dr. Joel W Rosenberg, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 721 Clifton Ave, Clifton, NJ 07013 Phone: 973-778-7988
Daniel R Lowe, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 6 Brighton Rd Ste 108, Clifton, NJ 07012 Phone: 973-337-1328 Fax: 973-337-1330

Mr Leonard Staller, PA - Medicare Physician Assistant in Clifton, NJ