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ASSOC. OF MAPLE PODIATRYPA NPI 1972540854


NPI Information

NPI: 1972540854
Provider Name: ASSOC. OF MAPLE PODIATRY,PA
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
702 W MAPLE AVE
MERCHANTVILLE, NJ
ZIP 08109
Phone: (856) 665-1180
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ASSOC. OF MAPLE PODIATRY,PA is a podiatrist in Merchantville, 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. ASSOC. OF MAPLE PODIATRY,PA NPI is 1972540854. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

702 W MAPLE AVE
MERCHANTVILLE, NJ
ZIP 08109-822
Phone: (856) 665-1180
Fax: (856) 665-5537

The provider's authorized official is John A Wallace .
The authorized official title is Owner and has the following contact phone number (856) 665-1180.

The enumeration date for this NPI number is 6/1/2006 and was last updated on 7/1/2009.


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
1213E00000XPodiatristMD00151900NEW 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1=========OTHERNEW JERSEYHORIZON BCBS OF NJ
20037575MEDICAIDNEW JERSEY
30078854000OTHERNEW JERSEYAMERIHEALTH
460008976OTHERNEW JERSEYHORIZON NJ HEALTH
56129280001MEDICARE NSCNEW JERSEY
6082365MEDICARE PINNEW 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

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