OrganizationActive
Mahwah Medical
NPI 1366612178 · Internal Medicine Physician · Mahwah, NJ
Provider details
- NPI number
- 1366612178
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Glenn Leslie, President(201) 529-0033
- License
- MB42681 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
10 Franklin Tpke
Mahwah, NJ 07430-1304
Phone: (201) 529-0033
Fax: (201) 529-5913
Street-level locationGet directions
Mailing address
10 Franklin Tpke
Mahwah, NJ 07430-1304
Registry dates
- Enumerated
- 2008-03-07
- Last updated
- 2009-09-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.