Provider Demographics
NPI:1558258806
Name:ALCID, LEAH (ANP)
Entity type:Individual
Prefix:
First Name:LEAH
Middle Name:
Last Name:ALCID
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:808 PLEASANTVIEW TER FL 2
Mailing Address - Street 2:
Mailing Address - City:RIDGEFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07657-2523
Mailing Address - Country:US
Mailing Address - Phone:201-888-6955
Mailing Address - Fax:
Practice Address - Street 1:65 HARRISTOWN RD STE 101
Practice Address - Street 2:
Practice Address - City:GLEN ROCK
Practice Address - State:NJ
Practice Address - Zip Code:07452-3317
Practice Address - Country:US
Practice Address - Phone:201-487-1240
Practice Address - Fax:201-487-1241
Is Sole Proprietor?:No
Enumeration Date:2025-06-19
Last Update Date:2025-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ15332100363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health