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STEVEN B CANCELL D P M P A NPI 1518004936


NPI Information

NPI: 1518004936
Provider Name: STEVEN B CANCELL D P M P A
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
456 S BROADWAY
GLOUCESTER CITY, NJ
ZIP 08030
Phone: (856) 456-8862
Get Directions

STEVEN B CANCELL D P M P A is a foot and ankle surgery podiatrist in Gloucester City, NJ. STEVEN B CANCELL D P M P A NPI is 1518004936. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

456 S BROADWAY
GLOUCESTER CITY, NJ
ZIP 08030-343
Phone: (856) 456-8862
Fax: (856) 456-6272

The provider's authorized official is Steven B Cancell .
The authorized official title is President and has the following contact phone number (856) 456-8862.

The enumeration date for this NPI number is 2/1/2007 and was last updated on 10/2/2008.


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
1213ES0103XPodiatristFoot & Ankle Surgery25MD00213300NEW 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
11028030001MEDICARE NSCNEW JERSEY
2U34032MEDICARE UPINNEW JERSEY
3CA079300MEDICARE ID-TYPE UNSPECIFIEDNEW JERSEY
4107112MEDICARE 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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