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

Active since May 25, 2007
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: November 01, 2026.

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.

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Medicare Billing Reassignments

2

Medicare enrollment records show Leila Maybodi reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Physician Associates Of New Jersey Inc
Same address
Neurology
90 BERGEN ST
Newark, NJ 07103
  • Reassigned Medicare billing, New Jersey enrollment
  • 21 clinicians in this Medicare group
NPI 1902816507 (973) 972-2550
Hackensack Meridian Health Medical Group - Specialty Care PC
29 mi
Surgical Critical Care
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 2,844 clinicians in this Medicare group
NPI 1215989249 (732) 807-0800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
90 BERGEN ST STE 8100
NEWARK, NJ 07103
Essex County (973) 972-2548
UNIVERSITY NEUROSURGERY ASSOCIATES (OM)
Neurological Surgery
90 BERGEN ST STE 8100
NEWARK, NJ 07103
Essex County (973) 972-2323
KIM DOVALO
Nurse Practitioner (Family)
90 BERGEN ST STE 8100
NEWARK, NJ 07103
Essex County (973) 972-2897
DANA PATRICIA LOMA NP
Nurse Practitioner (Family)
90 BERGEN ST STE 8100
NEWARK, NJ 07103
Essex County (973) 972-2548
DANIEL S PARDO MD
Student in an Organized Health Care Education/Training Program
90 BERGEN ST STE 8100
NEWARK, NJ 07103
Essex County (973) 972-2548
DR. KEVIN WONG MD
Otolaryngology
90 BERGEN ST STE 8100
NEWARK, NJ 07103
Essex County (212) 241-6500
ROMAN POVOLOTSKIY MD
Otolaryngology
90 BERGEN ST STE 8100
NEWARK, NJ 07103
Essex County (973) 972-2548
CHRISTOPHER MICHAEL MARTINI ATC
Specialist/Technologist (Athletic Trainer)
90 BERGEN ST STE 8100
NEWARK, NJ 07103
Essex County (973) 926-6448

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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.

Where is Leila Maybodi located?

Leila Maybodi practices at 90 Bergen St Ste 8100, Newark, NJ 07103. The listed phone number is (973) 972-2550.

What is Leila Maybodi's specialty?

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

Is Leila Maybodi enrolled in Medicare?

Yes. Leila Maybodi is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Leila Maybodi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Leila Maybodi reassigns Medicare benefits to 2 organizations: University Physician Associates Of New Jersey Inc (Newark, NJ) and Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Leila Maybodi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 8 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.