DR. MARTIN EDMUND WENDELKEN DPM NPI 1902951890

NPI Information

NPI: 1902951890
Provider Name: DR. MARTIN EDMUND WENDELKEN, DPM
Classification: Podiatrist - 213EP1101X
Entity Type: Individual

Specialization: Primary Podiatric Medicine

PECOS Registration: Yes

Address:
1740 EASTCHESTER RD
CENTER FOR PALLIATIVE WOUND CARE
BRONX, NY
ZIP 10461
Phone: (646) 220-1745
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DR. Martin Edmund Wendelken, DPM is a primary podiatric medicine podiatrist in Bronx, NY. DR. Martin Edmund Wendelken, DPM NPI is 1902951890. 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:

1740 EASTCHESTER RD
CENTER FOR PALLIATIVE WOUND CARE
BRONX, NY
ZIP 10461-300
Phone: (646) 220-1745

The NPI 1902951890 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 1/24/2007 and was last updated on 1/6/2010.

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	N004003	NEW YORK	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
1	P40831	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK
2	00902612	MEDICAID	NEW YORK
3	T51259	MEDICARE UPIN	NEW YORK

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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