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 | 213E00000X | Podiatrist | | 25MD0830550 | NEW JERSEY | No |
| 2 | 213EP0504X | Podiatrist | Public Medicine | 25MD0830550 | NEW JERSEY | No |
| 3 | 213EP0504X | Podiatrist | Public Medicine | 006382 | NEW YORK | No |
| 4 | 213EP1101X | Podiatrist | Primary Podiatric Medicine | 006382 | NEW YORK | No |
| 5 | 213EP1101X | Podiatrist | Primary Podiatric Medicine | 25MD0830550 | NEW JERSEY | No |
| 6 | 213ER0200X | Podiatrist | Radiology | 006382 | NEW YORK | No |
| 7 | 213ER0200X | Podiatrist | Radiology | 25MD0830550 | NEW JERSEY | No |
| 8 | 213ES0000X | Podiatrist | Sports Medicine | 006382 | NEW YORK | No |
| 9 | 213ES0000X | Podiatrist | Sports Medicine | 25MD0830550 | NEW JERSEY | No |
| 10 | 213ES0103X | Podiatrist | Foot & Ankle Surgery | 006382 | NEW YORK | No |
| 11 | 213ES0103X | Podiatrist | Foot & Ankle Surgery | 25MD0830550 | NEW JERSEY | No |
| 12 | 213ES0131X | Podiatrist | Foot Surgery | 006382 | NEW YORK | No |
| 13 | 213ES0131X | Podiatrist | Foot Surgery | 25MD0830550 | NEW JERSEY | No |
| 14 | 213E00000X | Podiatrist | | 006382 | NEW YORK | Yes |