ADVANCED PODIATRIC SERVICES NPI 1275676421

NPI Information

NPI: 1275676421
Provider Name: ADVANCED PODIATRIC SERVICES
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
341 S EVERGREEN AVE
WOODBURY, NJ
ZIP 08096
Phone: (856) 848-3338
Get Directions

ADVANCED PODIATRIC SERVICES is a foot and ankle surgery podiatrist in Woodbury, NJ. ADVANCED PODIATRIC SERVICES NPI is 1275676421. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

341 S EVERGREEN AVE
WOODBURY, NJ
ZIP 08096-715
Phone: (856) 848-3338
Fax: (856) 848-5122

The provider's authorized official is Joseph A Megara .
The authorized official title is Owner Operater and has the following contact phone number (856) 848-3338.

The enumeration date for this NPI number is 2/15/2007 and was last updated on 3/30/2009.

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
1	213ES0103X	Podiatrist	Foot & Ankle Surgery	NJ25MD00273100	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	3650342	OTHER	NEW JERSEY	AETNA
2	095909	MEDICARE ID-TYPE UNSPECIFIED	NEW JERSEY
3	=========	OTHER	NEW JERSEY	TAX ID
4	5101610002	OTHER	NEW JERSEY	MEDICARE DME
5	0103462	MEDICAID	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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