Active NPIIndividual provider

Katiana M Deyonke, DPM

Student in an Organized Health Care Education/Training Program in Passaic, New Jersey

NPI Number1073406047
Practice location
350 Boulevard, Passaic, NJ 07055-2840
Fax
—
Last updated
May 30, 2025

Katiana Marya Deyonke is a Student in an Organized Health Care Education/Training Program based in Passaic, NJ. Katiana Marya Deyonke practices in Passaic, NJ and has the professional credentials of DPM. The NPI Number for Katiana Marya Deyonke is 1073406047. The current practice location address for Katiana Marya Deyonke is 350 Boulevard, Passaic, NJ 07055-2840 and can be reached out via phone at 973-365-4300.

Provider Profile Details

NPI Number
1073406047
Provider Name
Katiana Marya Deyonke
Credential
DPM
Provider Entity Type
Individual
Gender
Female
Address
350 Boulevard, Passaic, NJ 07055-2840
Phone Number
973-365-4300
Sole Proprietor
No
Provider Enumeration Date
May 30, 2025
Last Update Date
May 30, 2025
Certification Date
May 29, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
350 Boulevard
Passaic, NJ 07055-2840
Zip
07055-2840
Phone Number
973-365-4300
Passaic, NJ 07055Get directions →

Provider Business Mailing Address Details

Address
350 Boulevard
Passaic, NJ 07055-2840
City
Passaic
State
NJ
Zip
07055-2840
Phone Number
973-365-4300

License Information

Legacy Identifiers

IdentifierTypeStateIssuer
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 Katiana M Deyonke, DPM?

The NPI number of Katiana M Deyonke, DPM is 1073406047. It was assigned on May 30, 2025 and is currently active in the NPPES registry.

What is the specialty of Katiana M Deyonke, DPM?

Katiana M Deyonke, DPM is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X).

Where does Katiana M Deyonke, DPM practice?

The practice location is 350 Boulevard, Passaic, NJ 07055-2840. The office can be reached at 973-365-4300 (phone).

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 1073406047 directly on the NPPES registry website.

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