JACQUELINE M SUTERA DPM PC NPI 1073688271

NPI Information

NPI: 1073688271
Provider Name: JACQUELINE M SUTERA DPM PC
Classification: Podiatrist - 213ES0131X
Entity Type: Organization

Specialization: Foot Surgery

Address:
452 OLD HOOK RD
2ND FLOOR
EMERSON, NJ
ZIP 07630
Phone: (201) 599-1336
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JACQUELINE M SUTERA DPM PC is a foot surgery podiatrist in Emerson, NJ. JACQUELINE M SUTERA DPM PC NPI is 1073688271. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

452 OLD HOOK RD
2ND FLOOR
EMERSON, NJ
ZIP 07630-381
Phone: (201) 599-1336
Fax: (201) 599-1386

The provider's authorized official is Susan E Doerner .
The authorized official title is Billing Manager and has the following contact phone number (201) 391-6731.

The enumeration date for this NPI number is 11/22/2006 and was last updated on 10/17/2007.

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	213ES0131X	Podiatrist	Foot Surgery	25MD00279500	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	085079	OTHER	NEW JERSEY	GROUP MEDICARE PIN
2	085081TEP	MEDICARE PIN	NEW JERSEY
3	U99984	MEDICARE UPIN	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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