MAIN STREET FOOT AND ANKLE CARE LLC NPI 1356734339

NPI Information

NPI: 1356734339
Provider Name: MAIN STREET FOOT AND ANKLE CARE LLC
Classification: Podiatrist - 213EP1101X
Entity Type: Organization

Specialization: Primary Podiatric Medicine

Address:
618 MAIN ST
TOMS RIVER, NJ
ZIP 08753
Phone: (732) 349-0114
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MAIN STREET FOOT AND ANKLE CARE LLC is a primary podiatric medicine podiatrist in Toms River, NJ. MAIN STREET FOOT AND ANKLE CARE LLC NPI is 1356734339. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

618 MAIN ST
TOMS RIVER, NJ
ZIP 08753-424
Phone: (732) 349-0114
Fax: (732) 349-0228

The provider's authorized official is Mark A Majeski .
The authorized official title is Dpm/owner and has the following contact phone number (732) 349-0114.

The enumeration date for this NPI number is 3/14/2015 and was last updated on 3/14/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0103X	Podiatrist	Foot & Ankle Surgery	25MD00193900	NEW JERSEY	No
2	213ES0131X	Podiatrist	Foot Surgery	25MD00193900	NEW JERSEY	No
3	213EP1101X	Podiatrist	Primary Podiatric Medicine	25MD00193900	NEW JERSEY	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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