Active NPIIndividual provider

Jonathan T Michael, DPM

Podiatrist in Bayonne, New Jersey

NPI Number1417171638
Practice location
855 Broadway, Bayonne, NJ 07002-3018
Fax
201-535-8979
Last updated
March 29, 2023

Jonathan Tadros Michael is a Podiatrist based in Bayonne, NJ. Jonathan Tadros Michael practices in Bayonne, NJ and has the professional credentials of DPM. The NPI Number for Jonathan Tadros Michael is 1417171638 and holds a License No. 25MD00290800 (NJ). The current practice location address for Jonathan Tadros Michael is 855 Broadway, Bayonne, NJ 07002-3018 and can be reached out via phone at 201-535-8978 and via fax at 201-535-8979.

Provider Profile Details

NPI Number
1417171638
Provider Name
Jonathan Tadros Michael
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
855 Broadway, Bayonne, NJ 07002-3018
Phone Number
201-535-8978
Fax Number
201-535-8979
Primary Taxonomy
Podiatrist · 213E00000X
Sole Proprietor
No
Provider Enumeration Date
April 11, 2007
Last Update Date
March 29, 2023
Certification Date
March 29, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
855 Broadway
Bayonne, NJ 07002-3018
Zip
07002-3018
Phone Number
201-535-8978
Fax Number
201-535-8979
Bayonne, NJ 07002Get directions →

Provider Business Mailing Address Details

Address
Po Box 476
Colts Neck, NJ 07722-0476
City
Colts Neck
State
NJ
Zip
07722-0476
Phone Number
201-535-8978
Fax Number
201-535-8979

License Information

License Number
25MD00290800
License State
NJ
Taxonomy
Podiatrist · 213E00000X · 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 Jonathan T Michael, DPM?

The NPI number of Jonathan T Michael, DPM is 1417171638. It was assigned on April 11, 2007 and is currently active in the NPPES registry.

What is the specialty of Jonathan T Michael, DPM?

Jonathan T Michael, DPM is registered under the primary taxonomy Podiatrist (code 213E00000X), licensed in NJ under license number 25MD00290800.

Where does Jonathan T Michael, DPM practice?

The practice location is 855 Broadway, Bayonne, NJ 07002-3018. The office can be reached at 201-535-8978 (phone) or 201-535-8979 (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 1417171638 directly on the NPPES registry website.

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