Active NPIIndividual provider

Yakov Groysman, DPM

Podiatrist, Foot & Ankle Surgery in Hackensack, New Jersey

NPI Number1568950087
Practice location
20 Prospect Ave Ste 803H, Hackensack, NJ 07601-1997
Fax
—
Last updated
April 6, 2022

Yakov Groysman is a Podiatrist, Foot & Ankle Surgery based in Hackensack, NJ. Yakov Groysman practices in Hackensack, NJ and has the professional credentials of DPM. The NPI Number for Yakov Groysman is 1568950087 and holds a License No. 25MD00364500 (NJ). The current practice location address for Yakov Groysman is 20 Prospect Ave Ste 803H, Hackensack, NJ 07601-1997 and can be reached out via phone at 201-488-3668.

Provider Profile Details

NPI Number
1568950087
Provider Name
Yakov Groysman
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
20 Prospect Ave Ste 803H, Hackensack, NJ 07601-1997
Phone Number
201-488-3668
Primary Taxonomy
Podiatrist, Foot & Ankle Surgery · 213ES0103X
Sole Proprietor
No
Provider Enumeration Date
April 30, 2018
Last Update Date
April 6, 2022
Certification Date
April 6, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
20 Prospect Ave Ste 803H
Hackensack, NJ 07601-1997
Zip
07601-1997
Phone Number
201-488-3668
Hackensack, NJ 07601Get directions →

Provider Business Mailing Address Details

Address
25 White Oak Ln
Matawan, NJ 07747-1968
City
Matawan
State
NJ
Zip
07747-1968
Phone Number
718-427-0183

License Information

License Number
25MD00364500
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 Yakov Groysman, DPM?

The NPI number of Yakov Groysman, DPM is 1568950087. It was assigned on April 30, 2018 and is currently active in the NPPES registry.

What is the specialty of Yakov Groysman, DPM?

Yakov Groysman, DPM is registered under the primary taxonomy Podiatrist, Foot & Ankle Surgery (code 213ES0103X), licensed in NJ under license number 25MD00364500.

Where does Yakov Groysman, DPM practice?

The practice location is 20 Prospect Ave Ste 803H, Hackensack, NJ 07601-1997. The office can be reached at 201-488-3668 (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 1568950087 directly on the NPPES registry website.

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