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OLD HOOK PODIATRY ASSOC PC NPI 1093886038


NPI Information

NPI: 1093886038
Provider Name: OLD HOOK PODIATRY ASSOC PC
Classification: Podiatrist - 213ES0131X
Entity Type: Organization

Specialization: Foot Surgery

Address:
452 OLD HOOK RD
2ND FL
EMERSON, NJ
ZIP 07630
Phone: (201) 599-1336
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OLD HOOK PODIATRY ASSOC PC is a foot surgery podiatrist in Emerson, NJ. OLD HOOK PODIATRY ASSOC PC NPI is 1093886038. 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 FL
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 11/13/2006 and was last updated on 8/12/2008.


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
1213ES0131XPodiatristFoot Surgery25MD00273200NEW 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
1075904SDQMEDICARE ID-TYPE UNSPECIFIEDNEW JERSEY
25248420001MEDICARE NSCNEW JERSEY
3U49086MEDICARE UPINNEW JERSEY
4075902OTHERNEW JERSEYMEDICARE GROUP PIN

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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