JAY MUKKER DPM INC NPI 1962722983

NPI Information

NPI: 1962722983
Provider Name: JAY MUKKER DPM INC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
7210 N MILBURN AVE
SUITE 101
FRESNO, CA
ZIP 93722
Phone: (559) 224-5101
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JAY MUKKER DPM INC is a foot and ankle surgery podiatrist in Fresno, CA. JAY MUKKER DPM INC NPI is 1962722983. The provider is registered as an organization entity type.

The provider's business location address is:

7210 N MILBURN AVE
SUITE 101
FRESNO, CA
ZIP 93722-022
Phone: (559) 224-5101
Fax: (559) 224-4396

The provider's authorized official is Jay Mukker .
The authorized official title is Owner and has the following contact phone number (559) 224-5101.

The enumeration date for this NPI number is 6/2/2010 and was last updated on 6/6/2012.

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	332BC3200X	Durable Medical Equipment & Medical Supplies	Customized Equipment	E46560	CALIFORNIA	No
2	335E00000X	Prosthetic/Orthotic Supplier		E46560	CALIFORNIA	No
3	332B00000X	Durable Medical Equipment & Medical Supplies		E46560	CALIFORNIA	No
4	213ES0103X	Podiatrist	Foot & Ankle Surgery	E4656	CALIFORNIA	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	000E46560	MEDICARE PIN	CALIFORNIA
2	V11924	MEDICARE UPIN	CALIFORNIA
3	6389800001	MEDICARE NSC	CALIFORNIA
4	000E46560	MEDICAID	CALIFORNIA
5	1962722983	MEDICARE NSC	CALIFORNIA

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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