STANLEY S BODZIN D.P.M. NPI 1871607218

NPI Information

NPI: 1871607218
Provider Name: STANLEY S BODZIN, D.P.M.
Classification: Podiatrist - 213E00000X
Entity Type: Individual
Address:
52 BERLIN RD
SUITE 5000
CHERRY HILL, NJ
ZIP 08034
Phone: (856) 795-1003
Get Directions

Stanley S Bodzin, D.P.M. is a podiatrist in Cherry Hill, 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. Stanley S Bodzin, D.P.M. NPI is 1871607218. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

52 BERLIN RD
SUITE 5000
CHERRY HILL, NJ
ZIP 08034-574
Phone: (856) 795-1003
Fax: (856) 795-5994

The enumeration date for this NPI number is 8/19/2006 and was last updated on 7/15/2013.

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		SC001895L	PENNSYLVANIA	No
2	213E00000X	Podiatrist		MD103700	NEW JERSEY	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	066165	OTHER	PENNSYLVANIA	IBC
2	T28090	MEDICARE UPIN
3	066165	MEDICARE ID-TYPE UNSPECIFIED	PENNSYLVANIA
4	0495000	MEDICAID	NEW JERSEY
5	6201283	OTHER		GROUP HEALTH INSURANCE
6	0060537000	OTHER		AMERIHEALTH
7	SC001895L	OTHER	PENNSYLVANIA	HEALTH PARTNERS
8	27-00990	OTHER		EVERCARE
9	0000066165	MEDICARE NSC	PENNSYLVANIA
10	OXFORD	OTHER		P3065606
11	15222	OTHER		UNIVERSITY HEALTH PLAN
12	48674	OTHER	PENNSYLVANIA	KEYSTONE MERCY HEALTH PLA
13	0000571094	MEDICARE NSC	NEW JERSEY
14	571094	MEDICARE ID-TYPE UNSPECIFIED	NEW 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: 11/14/2023

NPI Synchronization or Removal

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