Roselle Podiatry Group, PA
Healthcare Provider in Roselle, New Jersey
1003139031- Practice location
- 776 E 3RD Ave, Roselle, NJ 07203-1698
- Phone
- 908-620-3200
- Fax
- 908-620-1040
- Last updated
- October 16, 2014
Roselle Podiatry Group, PA is a healthcare organization based in Roselle, NJ. Roselle Podiatry Group, PA practices in Roselle, NJ. The NPI Number for Roselle Podiatry Group, PA is 1003139031 and holds a License No. md002426 (NJ). The current practice location address for Roselle Podiatry Group, PA is 776 E 3RD Ave, Roselle, NJ 07203-1698 and can be reached out via phone at 908-620-3200 and via fax at 908-620-1040.
Provider Profile Details
- NPI Number
- 1003139031
- Provider Name
- Roselle Podiatry Group, PA
- Provider Entity Type
- Organization
- Address
- 776 E 3RD Ave, Roselle, NJ 07203-1698
- Phone Number
- 908-620-3200
- Fax Number
- 908-620-1040
- Primary Taxonomy
- Healthcare Provider · 213ES0131X
- Organization Subpart
- No
- Authorized Official
- Yeon Shim, DPM · President · 908-620-3200
- Provider Enumeration Date
- March 4, 2010
- Last Update Date
- October 16, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 776 E 3RD Ave
Roselle, NJ 07203-1698 - City
- Roselle
- State
- New Jersey
- Zip
- 07203-1698
- Phone Number
- 908-620-3200
- Fax Number
- 908-620-1040
Provider Business Mailing Address Details
- Address
- 776 E 3RD Ave
Roselle, NJ 07203-1698 - City
- Roselle
- State
- NJ
- Zip
- 07203-1698
- Phone Number
- 908-620-3200
- Fax Number
- 908-620-1040
License Information
- License Number
- md002426
- License State
- NJ
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Roselle Podiatry Group, PA?
The NPI number of Roselle Podiatry Group, PA is 1003139031. It was assigned on March 4, 2010 and is currently active in the NPPES registry.
What is the specialty of Roselle Podiatry Group, PA?
Roselle Podiatry Group, PA is registered under the primary taxonomy Healthcare Provider (code 213ES0131X), licensed in NJ under license number md002426.
Where does Roselle Podiatry Group, PA practice?
The practice location is 776 E 3RD Ave, Roselle, NJ 07203-1698. The office can be reached at 908-620-3200 (phone) or 908-620-1040 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003139031 directly on the NPPES registry website.