Provider Demographics
NPI:1427473404
Name:LEIGHTON, BERNADETTE (RNC)
Entity type:Individual
Prefix:MRS
First Name:BERNADETTE
Middle Name:
Last Name:LEIGHTON
Suffix:
Gender:F
Credentials:RNC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:680 KINDERKAMACK RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ORADELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07649
Mailing Address - Country:US
Mailing Address - Phone:201-666-4200
Mailing Address - Fax:201-666-2262
Practice Address - Street 1:680 KINDERKAMACK RD
Practice Address - Street 2:SUITE 200
Practice Address - City:ORADELL
Practice Address - State:NJ
Practice Address - Zip Code:07649
Practice Address - Country:US
Practice Address - Phone:201-666-4200
Practice Address - Fax:201-666-2262
Is Sole Proprietor?:No
Enumeration Date:2014-02-27
Last Update Date:2016-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NO07145300163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ26N007145300OtherRN