NEW JERSEY PODIATRIC PHYSICIANS AND SURGEONS GROUP LLC NPI 1114357175

NPI Information

NPI: 1114357175
Provider Name: NEW JERSEY PODIATRIC PHYSICIANS AND SURGEONS GROUP, LLC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

CLIA Number: 31D2055810

Address:
53 MAIN ST
SAYREVILLE, NJ
ZIP 08872
Phone: (732) 679-4330
Get Directions

NEW JERSEY PODIATRIC PHYSICIANS AND SURGEONS GROUP, LLC is a foot and ankle surgery podiatrist in Sayreville, NJ. NEW JERSEY PODIATRIC PHYSICIANS AND SURGEONS GROUP, LLC NPI is 1114357175. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

53 MAIN ST
SAYREVILLE, NJ
ZIP 08872-559
Phone: (732) 679-4330
Fax: (732) 679-4777

The provider's authorized official is Hal Ornstein .
The authorized official title is President/manager and has the following contact phone number (732) 994-5333.

The CLIA number assigned to this NPI record is 31D2055810 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/12/2013 and was last updated on 11/12/2013.

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	213ES0103X	Podiatrist	Foot & Ankle Surgery	25MD00268400	NEW JERSEY	Yes

What is NPI?

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This page was last updated on: 5/5/2024

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