GROVE PODIATRY ASSOCIATION INC NPI 1972704153

NPI Information

NPI: 1972704153
Provider Name: GROVE PODIATRY ASSOCIATION INC
Classification: Podiatrist - 213ES0131X
Entity Type: Organization

Specialization: Foot Surgery

Address:
291 HARDING HWY
SUITE 2
CARNEYS POINT, NJ
ZIP 08069
Phone: (856) 299-1064
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GROVE PODIATRY ASSOCIATION INC is a foot surgery podiatrist in Carneys Point, NJ. GROVE PODIATRY ASSOCIATION INC NPI is 1972704153. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

291 HARDING HWY
SUITE 2
CARNEYS POINT, NJ
ZIP 08069-229
Phone: (856) 299-1064
Fax: (856) 299-2375

The provider's authorized official is Richard W Cooperman .
The authorized official title is President and has the following contact phone number (856) 299-1064.

The enumeration date for this NPI number is 5/29/2007 and was last updated on 5/23/2013.

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	213ES0131X	Podiatrist	Foot Surgery	25MD00138600	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
1	185040	MEDICARE PIN	NEW JERSEY
2	085553	MEDICARE ID-TYPE UNSPECIFIED	NEW JERSEY
3	U01981	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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