Active NPIIndividual provider

Dr. Demetrios S Econopouly, DPM

Podiatrist, Foot & Ankle Surgery in North Bergen, New Jersey

NPI Number1144200445
Practice location
9226 Kennedy Blvd, 2ND Floor, North Bergen, NJ 07047-5312
Fax
201-863-5744
Last updated
January 18, 2017

Demetrios S Econopouly is a Podiatrist, Foot & Ankle Surgery based in North Bergen, NJ. Demetrios S Econopouly practices in North Bergen, NJ and has the professional credentials of DPM. The NPI Number for Demetrios S Econopouly is 1144200445 and holds a License No. 25MD00208800 (NJ). The current practice location address for Demetrios S Econopouly is 9226 Kennedy Blvd, 2ND Floor, North Bergen, NJ 07047-5312 and can be reached out via phone at 201-863-5383 and via fax at 201-863-5744.

Provider Profile Details

NPI Number
1144200445
Provider Name
Demetrios S Econopouly
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
9226 Kennedy Blvd, 2ND Floor, North Bergen, NJ 07047-5312
Phone Number
201-863-5383
Fax Number
201-863-5744
Primary Taxonomy
Podiatrist, Foot & Ankle Surgery · 213ES0103X
Sole Proprietor
No
Provider Enumeration Date
January 20, 2006
Last Update Date
January 18, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
9226 Kennedy Blvd
2ND Floor
North Bergen, NJ 07047-5312
Zip
07047-5312
Phone Number
201-863-5383
Fax Number
201-863-5744
North Bergen, NJ 07047Get directions →

Provider Business Mailing Address Details

Address
9226 Kennedy Blvd Fl 2
North Bergen, NJ 07047-5312
City
North Bergen
State
NJ
Zip
07047-5312
Phone Number
201-863-5383
Fax Number
201-863-5744

License Information

License Number
25MD00208800
License State
NJ
Taxonomy
Podiatrist, Foot & Ankle Surgery · 213ES0103X · Primary

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 Dr. Demetrios S Econopouly, DPM?

The NPI number of Dr. Demetrios S Econopouly, DPM is 1144200445. It was assigned on January 20, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Demetrios S Econopouly, DPM?

Dr. Demetrios S Econopouly, DPM is registered under the primary taxonomy Podiatrist, Foot & Ankle Surgery (code 213ES0103X), licensed in NJ under license number 25MD00208800.

Where does Dr. Demetrios S Econopouly, DPM practice?

The practice location is 9226 Kennedy Blvd, 2ND Floor, North Bergen, NJ 07047-5312. The office can be reached at 201-863-5383 (phone) or 201-863-5744 (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 1144200445 directly on the NPPES registry website.

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