Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Jaclyn Melissa Leitner, PA-C

Individual provider Medical Physician Assistant · NPI 1780861724

Mrs. Jaclyn Melissa Leitner, PA-C is a Medical Physician Assistant in Fair Lawn, New Jersey. Licensed in Florida and New Jersey. Registered with an NPI since 2008.

Licensed in
FL, NJ
In the registry since
2008
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

31-00 Broadway
Fair Lawn, NJ 07410-3963
Phone: (201) 796-2255
Fax: (201) 796-7020
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9116687 (FL)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 25MP00188300 (NJ)

Record details

NPI number1780861724
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 22, 2008
Last updated in NPPESMay 4, 2026
Certification dateMay 4, 2026

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