Active NPIOrganization

Kenneth Donovan DPM LLC

Podiatrist, Foot & Ankle Surgery in Warren, New Jersey

NPI Number1417229493
Practice location
9 Mount Bethel RD, Suite 209, Warren, NJ 07059-5603
Fax
908-450-1558
Last updated
April 20, 2025

Kenneth Donovan DPM LLC is a healthcare organization based in Warren, NJ. Kenneth Donovan DPM LLC practices in Warren, NJ. The NPI Number for Kenneth Donovan DPM LLC is 1417229493 and holds a License No. 25MD00302600 (NJ). The current practice location address for Kenneth Donovan DPM LLC is 9 Mount Bethel RD, Suite 209, Warren, NJ 07059-5603 and can be reached out via phone at 908-605-0799 and via fax at 908-450-1558.

Provider Profile Details

NPI Number
1417229493
Provider Name
Kenneth Donovan DPM LLC
Provider Entity Type
Organization
Address
9 Mount Bethel RD, Suite 209, Warren, NJ 07059-5603
Phone Number
908-605-0799
Fax Number
908-450-1558
Primary Taxonomy
Podiatrist, Foot & Ankle Surgery · 213ES0103X
Organization Subpart
No
Authorized Official
Dr. Kenneth James Donovan, DPM · Owner · 908-605-0799
Other Names
Advanced Care Foot And Ankle (Doing Business As)
Provider Enumeration Date
February 6, 2012
Last Update Date
April 20, 2025
Certification Date
April 20, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
9 Mount Bethel RD
Suite 209
Warren, NJ 07059-5603
City
Warren
Zip
07059-5603
Phone Number
908-605-0799
Fax Number
908-450-1558
Warren, NJ 07059Get directions →

Provider Business Mailing Address Details

Address
9 Mount Bethel RD
Suite 209
Warren, NJ 07059-5603
City
Warren
State
NJ
Zip
07059-5603
Phone Number
908-605-0799
Fax Number
908-450-1558

License Information

License Number
25MD00302600
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 Kenneth Donovan DPM LLC?

The NPI number of Kenneth Donovan DPM LLC is 1417229493. It was assigned on February 6, 2012 and is currently active in the NPPES registry.

What is the specialty of Kenneth Donovan DPM LLC?

Kenneth Donovan DPM LLC is registered under the primary taxonomy Podiatrist, Foot & Ankle Surgery (code 213ES0103X), licensed in NJ under license number 25MD00302600.

Where does Kenneth Donovan DPM LLC practice?

The practice location is 9 Mount Bethel RD, Suite 209, Warren, NJ 07059-5603. The office can be reached at 908-605-0799 (phone) or 908-450-1558 (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 1417229493 directly on the NPPES registry website.

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