Provider Type Icon

CREEK CROSSING PODIATRY LLC NPI 1861511875


NPI Information

NPI: 1861511875
Provider Name: CREEK CROSSING PODIATRY LLC
Classification: Podiatrist - 213ES0131X
Entity Type: Organization

Specialization: Foot Surgery

Address:
309 CREEK CROSSING BLVD
SUITE 309
HAINESPORT, NJ
ZIP 08036
Phone: (609) 261-9660
Get Directions

CREEK CROSSING PODIATRY LLC is a foot surgery podiatrist in Hainesport, NJ. CREEK CROSSING PODIATRY LLC NPI is 1861511875. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

309 CREEK CROSSING BLVD
SUITE 309
HAINESPORT, NJ
ZIP 08036-767
Phone: (609) 261-9660
Fax: (609) 261-9440

The provider's authorized official is Bernadette Giangreco .
The authorized official title is Podiatrist/physician and has the following contact phone number (609) 261-9660.

The enumeration date for this NPI number is 3/29/2007 and was last updated on 5/12/2008.


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
1213ES0131XPodiatristFoot Surgery25MD00273500NEW 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
15971990001MEDICARE NSCNEW JERSEY
2080007MEDICARE ID-TYPE UNSPECIFIEDNEW 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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.