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LAWRENCE J MENDITTO DPM PC NPI 1700087020


NPI Information

NPI: 1700087020
Provider Name: LAWRENCE J MENDITTO DPM PC
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
3200 SUNSET AVE
OCEAN, NJ
ZIP 07712
Phone: (732) 531-4545
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LAWRENCE J MENDITTO DPM PC is a podiatrist in Ocean, 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. LAWRENCE J MENDITTO DPM PC NPI is 1700087020. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3200 SUNSET AVE
OCEAN, NJ
ZIP 07712-567
Phone: (732) 531-4545
Fax: (732) 869-1246

The provider's authorized official is Lawrence Menditto .
The authorized official title is Podiatry and has the following contact phone number (732) 531-4545.

The enumeration date for this NPI number is 5/31/2007 and was last updated on 7/15/2011.


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
1213E00000XPodiatristMD02106NEW 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
1078133MEDICARE ID-TYPE UNSPECIFIEDNEW JERSEY
26080006MEDICAIDNEW JERSEY
35030260001MEDICARE NSCNEW JERSEY
4U28537MEDICARE UPINNEW JERSEY
52271834000OTHERNEW JERSEYAMERIHEALTH
6DC0804MEDICARE ID-TYPE UNSPECIFIEDNEW JERSEYRAIL ROAD

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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