Active NPIIndividual providerSole proprietor

Dr. Maryellen P Brucato, DPM

Podiatrist, Foot & Ankle Surgery in Oradell, New Jersey

NPI Number1407148877
Practice location
550 Kinderkamack RD, Suite 202, Oradell, NJ 07649-1500
Fax
—
Last updated
March 26, 2013

Maryellen Patricia Brucato is a Podiatrist, Foot & Ankle Surgery based in Oradell, NJ. Maryellen Patricia Brucato practices in Oradell, NJ and has the professional credentials of DPM. The NPI Number for Maryellen Patricia Brucato is 1407148877 and holds a License No. 25md00315600 (NJ). The current practice location address for Maryellen Patricia Brucato is 550 Kinderkamack RD, Suite 202, Oradell, NJ 07649-1500 and can be reached out via phone at 201-261-9445.

Provider Profile Details

NPI Number
1407148877
Provider Name
Maryellen Patricia Brucato
Credential
DPM
Provider Entity Type
Individual
Gender
Female
Address
550 Kinderkamack RD, Suite 202, Oradell, NJ 07649-1500
Phone Number
201-261-9445
Primary Taxonomy
Podiatrist, Foot & Ankle Surgery · 213ES0103X
Sole Proprietor
Yes
Provider Enumeration Date
May 4, 2011
Last Update Date
March 26, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
550 Kinderkamack RD
Suite 202
Oradell, NJ 07649-1500
Zip
07649-1500
Phone Number
201-261-9445
Oradell, NJ 07649Get directions →

Provider Business Mailing Address Details

Address
103 Colfax Ave Fl 1
Pompton Lakes, NJ 07442-1736
City
Pompton Lakes
State
NJ
Zip
07442-1736

License Information

License Number
25md00315600
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. Maryellen P Brucato, DPM?

The NPI number of Dr. Maryellen P Brucato, DPM is 1407148877. It was assigned on May 4, 2011 and is currently active in the NPPES registry.

What is the specialty of Dr. Maryellen P Brucato, DPM?

Dr. Maryellen P Brucato, DPM is registered under the primary taxonomy Podiatrist, Foot & Ankle Surgery (code 213ES0103X), licensed in NJ under license number 25md00315600.

Where does Dr. Maryellen P Brucato, DPM practice?

The practice location is 550 Kinderkamack RD, Suite 202, Oradell, NJ 07649-1500. The office can be reached at 201-261-9445 (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 1407148877 directly on the NPPES registry website.

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