DR. LEILA MAYBODI MD
NPI 1962613265
Psychiatry & Neurology - Neuromuscular Medicine in Newark, NJ

Q: What is Leila Maybodi's NPI number?

The NPI number for Leila Maybodi is 1962613265. It was assigned to this individual provider in the NPPES registry on May 25, 2007.

Q: What is Leila Maybodi's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neuromuscular Medicine, with taxonomy code 2084N0008X.

Q: When was this NPI record last updated?

The NPPES record for Leila Maybodi was last updated on October 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 25, 2007PECOS Enrolled

90 BERGEN ST STE 8100, NEWARK, NJ 07103(973) 972-2550(973) 972-5541 Get Directions Write a Review

NPPES record last updated: October 3, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Leila Maybodi Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LEILA MAYBODI MD (NPI 1962613265) is an individual neuromuscular medicine provider in Newark, New Jersey, licensed in New Jersey (25MA10366700) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962613265

Entity TypeIndividualFemale

Primary Taxonomy2084N0008X

Provider Legal NameDR. LEILA MAYBODICredential: MD

Location Address90 BERGEN ST STE 8100Newark, NJ 07103-2425

Mailing Address90 Bergen St Ste 8100Newark, NJ 07103-2425 · (973) 972-2550 · Fax (973) 972-5541

Phone(973) 972-2550

Fax(973) 972-5541

Sole ProprietorNo

Enumeration DateMay 25, 2007

Last NPPES UpdateOctober 3, 2018

✔ NPI 1962613265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Neuromuscular MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2084N0008X

License✔ Licensed in NJ · 25MA10366700

Definition

A neurologist or child neurologist who specializes in the diagnosis and management of disorders of nerve, muscle or neuromuscular junction, including amyotrophic lateral sclerosis, peripheral neuropathies (e.g., diabetic and immune mediated neuropathies), various muscular dystrophies, congenital and acquired myopathies, inflammatory myopathies (e.g., polymyositis, inclusion body myositis) and neuromuscular transmission disorders (e.g., myasthenia gravis, Lambert-Eaton myasthenic syndrome).

Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License MD441807 (PA)

90 BERGEN ST STE 8100, Newark, NJ 07103

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Leila Maybodi Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. AARON TUCKER MD

Student in an Organized Health Care Education/Training Program