The Estaugh T/A Medford Leas
NPI 1659309524 · Geriatric Medicine (Family Medicine) Physician · Medford, NJ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
The Estaugh T/A Medford Leas is a Geriatric Medicine (Family Medicine) Physician organization in Medford, NJ (NPI 1659309524).
Provider details
- NPI number
- 1659309524
- Entity type
- Organization
- Primary specialty
- Geriatric Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jeremy Vickers, Chief Executive Officer(609) 654-3009
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Mailing address
Registry dates
- Enumerated
- 2006-06-29
- Last updated
- 2022-07-15
- Certified
- 2022-07-15
Frequently asked questions
- What is The Estaugh T/A Medford Leas's NPI number?
- The Estaugh T/A Medford Leas's National Provider Identifier (NPI) is 1659309524, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is The Estaugh T/A Medford Leas?
- The Estaugh T/A Medford Leas is classified in the NPPES registry as Geriatric Medicine (Family Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is The Estaugh T/A Medford Leas located?
- The Estaugh T/A Medford Leas's practice location on file with NPPES is 1 Medford Leas, Medford, NJ 08055-2254.
- What is The Estaugh T/A Medford Leas's phone number?
- The practice phone number listed in the NPPES registry for The Estaugh T/A Medford Leas is (609) 654-3005.
- Does The Estaugh T/A Medford Leas accept Medicare?
- The Estaugh T/A Medford Leas is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for The Estaugh T/A Medford Leas?
- The authorized official listed on The Estaugh T/A Medford Leas's NPPES record is Jeremy Vickers, Chief Executive Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is The Estaugh T/A Medford Leas's NPI active?
- Yes — The Estaugh T/A Medford Leas's NPI (1659309524) is active in the NPPES registry as of the last update on 2022-07-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.