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

Nicole Leo, DO

Individual provider Family Medicine Physician · NPI 1952340077

Nicole Leo, DO is a Family Practice in Marmora, New Jersey. Qualified in 2003, 23 years ago. Practices with Shore Memorial Physicians Group PC, a 25-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New Jersey.

Years since qualifying
23
Licensed in
NJ
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

4 W Roosevelt Blvd Ste 11&12
Marmora, NJ 08223-1441
Phone: (609) 814-9550
Fax: (609) 390-3511
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 25MB07318600 (NJ)

Record details

NPI number1952340077
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 5, 2006
Last updated in NPPESJune 19, 2023
Certification dateJune 19, 2023
Mailing address4 W Roosevelt Blvd Ste 11&12, Marmora, NJ 08223-1441

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Shore Memorial Physicians Group Pc — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Marmora