Active NPIIndividual provider

Stacey A Paukovitz, DPM

Podiatrist, Foot & Ankle Surgery in Manasquan, New Jersey

NPI Number1285670539
Practice location
1903 Atlantic Ave, Bldg C, Ste 3, Manasquan, NJ 08736-0873
Fax
732-528-2234
Last updated
February 20, 2018

Stacey A Paukovitz is a Podiatrist, Foot & Ankle Surgery based in Manasquan, NJ. Stacey A Paukovitz practices in Manasquan, NJ and has the professional credentials of DPM. The NPI Number for Stacey A Paukovitz is 1285670539 and holds a License No. 25MD00269900 (NJ). The current practice location address for Stacey A Paukovitz is 1903 Atlantic Ave, Bldg C, Ste 3, Manasquan, NJ 08736-0873 and can be reached out via phone at 732-528-2218 and via fax at 732-528-2234.

Provider Profile Details

NPI Number
1285670539
Provider Name
Stacey A Paukovitz
Credential
DPM
Provider Entity Type
Individual
Gender
Female
Address
1903 Atlantic Ave, Bldg C, Ste 3, Manasquan, NJ 08736-0873
Phone Number
732-528-2218
Fax Number
732-528-2234
Primary Taxonomy
Podiatrist, Foot & Ankle Surgery · 213ES0103X
Sole Proprietor
No
Provider Enumeration Date
June 22, 2006
Last Update Date
February 20, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
1903 Atlantic Ave
Bldg C, Ste 3
Manasquan, NJ 08736-0873
Zip
08736-0873
Phone Number
732-528-2218
Fax Number
732-528-2234
Manasquan, NJ 08736Get directions →

Provider Business Mailing Address Details

Address
1903 Atlantic Ave
Bldg C, Ste 3
Manasquan, NJ 08736-0873
City
Manasquan
State
NJ
Zip
08736-0873
Phone Number
732-528-2218
Fax Number
732-528-2234

License Information

License Number (1)
25MD00269900
License State (1)
NJ
Taxonomy (1)
Podiatrist, Foot & Ankle Surgery · 213ES0103X · Primary
License Number (2)
md00269900
License State (2)
NJ
Taxonomy (2)
Podiatrist, Foot & Ankle Surgery · 213ES0103X

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 Stacey A Paukovitz, DPM?

The NPI number of Stacey A Paukovitz, DPM is 1285670539. It was assigned on June 22, 2006 and is currently active in the NPPES registry.

What is the specialty of Stacey A Paukovitz, DPM?

Stacey A Paukovitz, DPM is registered under the primary taxonomy Podiatrist, Foot & Ankle Surgery (code 213ES0103X), licensed in NJ under license number 25MD00269900.

Where does Stacey A Paukovitz, DPM practice?

The practice location is 1903 Atlantic Ave, Bldg C, Ste 3, Manasquan, NJ 08736-0873. The office can be reached at 732-528-2218 (phone) or 732-528-2234 (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 1285670539 directly on the NPPES registry website.

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