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JERSEY SHORE PODIATRY LLC NPI 1497969224


NPI Information

NPI: 1497969224
Provider Name: JERSEY SHORE PODIATRY ,LLC
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
600 MULE RD
SUITE 3
TOMS RIVER, NJ
ZIP 08757
Phone: (732) 557-6336
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JERSEY SHORE PODIATRY ,LLC is a podiatrist in Toms River, NJ. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. JERSEY SHORE PODIATRY ,LLC NPI is 1497969224. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

600 MULE RD
SUITE 3
TOMS RIVER, NJ
ZIP 08757
Phone: (732) 557-6336

The provider's authorized official is Mark E Poplawski .
The authorized official title is Dpm and has the following contact phone number (732) 557-6336.

The enumeration date for this NPI number is 5/10/2007 and was last updated on 1/31/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213E00000XPodiatrist25MD00244300NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1P3236068OTHERNEW JERSEYHORIZON
2004018MEDICARE PINNEW JERSEY
3U68563MEDICARE UPINNEW JERSEY
40077858MEDICAIDNEW JERSEY
55304300001MEDICARE NSCNEW JERSEY

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

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