Active NPIIndividual provider

Dr. Jennifer Kmieczak, DPM

Podiatrist in Englewood, New Jersey

NPI Number1497798953
Practice location
142 Engle St, Englewood, NJ 07631-2507
Fax
201-568-3453
Last updated
September 15, 2011

Jennifer Kmieczak is a Podiatrist based in Englewood, NJ. Jennifer Kmieczak practices in Englewood, NJ and has the professional credentials of DPM. The NPI Number for Jennifer Kmieczak is 1497798953 and holds a License No. MD02491 (NJ). The current practice location address for Jennifer Kmieczak is 142 Engle St, Englewood, NJ 07631-2507 and can be reached out via phone at 201-568-0033 and via fax at 201-568-3453.

Provider Profile Details

NPI Number
1497798953
Provider Name
Jennifer Kmieczak
Credential
DPM
Provider Entity Type
Individual
Gender
Female
Address
142 Engle St, Englewood, NJ 07631-2507
Phone Number
201-568-0033
Fax Number
201-568-3453
Primary Taxonomy
Podiatrist · 213E00000X
Sole Proprietor
No
Provider Enumeration Date
June 13, 2006
Last Update Date
September 15, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
142 Engle St
Englewood, NJ 07631-2507
Zip
07631-2507
Phone Number
201-568-0033
Fax Number
201-568-3453
Englewood, NJ 07631Get directions →

Provider Business Mailing Address Details

Address
142 Engle St
Englewood, NJ 07631-2507
City
Englewood
State
NJ
Zip
07631-2507
Phone Number
201-568-0033
Fax Number
201-568-3453

License Information

License Number
MD02491
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 Dr. Jennifer Kmieczak, DPM?

The NPI number of Dr. Jennifer Kmieczak, DPM is 1497798953. It was assigned on June 13, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Jennifer Kmieczak, DPM?

Dr. Jennifer Kmieczak, DPM is registered under the primary taxonomy Podiatrist (code 213E00000X), licensed in NJ under license number MD02491.

Where does Dr. Jennifer Kmieczak, DPM practice?

The practice location is 142 Engle St, Englewood, NJ 07631-2507. The office can be reached at 201-568-0033 (phone) or 201-568-3453 (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 1497798953 directly on the NPPES registry website.

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