DOVER FOOT CARE NPI 1932119179

NPI Information

NPI: 1932119179
Provider Name: DOVER FOOT CARE

Doing Business As: RAYMOND IVANOVS, D.P.M.

Classification: Podiatrist - 213EP1101X
Entity Type: Organization

Specialization: Primary Podiatric Medicine

Address:
387 W BLACKWELL ST
DOVER, NJ
ZIP 07801
Phone: (973) 366-8000
Get Directions

DOVER FOOT CARE is a primary podiatric medicine podiatrist in Dover, NJ. DOVER FOOT CARE NPI is 1932119179. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Raymond Ivanovs, D.p.m..

The provider's business location address is:

387 W BLACKWELL ST
DOVER, NJ
ZIP 07801-520
Phone: (973) 366-8000
Fax: (973) 442-1300

The provider's authorized official is Ray Ivanovs .
The authorized official title is Owner and has the following contact phone number (973) 366-8000.

The enumeration date for this NPI number is 8/9/2006 and was last updated on 1/15/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213EP1101X	Podiatrist	Primary Podiatric Medicine			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	0046710	MEDICAID	NEW JERSEY
2	5643060001	MEDICARE NSC	NEW JERSEY
3	073563	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: 5/5/2024

NPI Synchronization or Removal

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