NORTH PLAINFIELD PODIATRY NPI 1720517360

NPI Information

NPI: 1720517360
Provider Name: NORTH PLAINFIELD PODIATRY
Classification: Podiatrist - 213EP1101X
Entity Type: Organization

Specialization: Primary Podiatric Medicine

Address:
654 MOUNT PROSPECT AVE # 301
NEWARK, NJ
ZIP 07104
Phone: (973) 482-7007
Get Directions

NORTH PLAINFIELD PODIATRY is a primary podiatric medicine podiatrist in Newark, NJ. NORTH PLAINFIELD PODIATRY NPI is 1720517360. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

654 MOUNT PROSPECT AVE # 301
NEWARK, NJ
ZIP 07104-110
Phone: (973) 482-7007
Fax: (973) 482-9333

The provider's authorized official is Javier Ponce .
The authorized official title is Doctor and has the following contact phone number (201) 960-1512.

The enumeration date for this NPI number is 6/7/2017 and was last updated on 5/22/2019.

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	213EP1101X	Podiatrist	Primary Podiatric Medicine			No
2	213EP1101X	Podiatrist	Primary Podiatric Medicine	25MD00246800	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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