Active NPIIndividual providerSole proprietor

Dr. Kenneth J Donovan, DPM

Podiatrist, Foot & Ankle Surgery in Warren, New Jersey

NPI Number1588804132
Practice location
9 Mount Bethel RD, Suite 9, Warren, NJ 07059-5603
Fax
908-450-1558
Last updated
February 3, 2024

Kenneth James Donovan is a Podiatrist, Foot & Ankle Surgery based in Warren, NJ. Kenneth James Donovan practices in Warren, NJ and has the professional credentials of DPM. The NPI Number for Kenneth James Donovan is 1588804132 and holds a License No. 25MD00302600 (NJ). The current practice location address for Kenneth James Donovan is 9 Mount Bethel RD, Suite 9, 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
1588804132
Provider Name
Kenneth James Donovan
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
9 Mount Bethel RD, Suite 9, Warren, NJ 07059-5603
Phone Number
908-605-0799
Fax Number
908-450-1558
Primary Taxonomy
Podiatrist, Foot & Ankle Surgery · 213ES0103X
Sole Proprietor
Yes
Provider Enumeration Date
February 23, 2009
Last Update Date
February 3, 2024
Certification Date
February 3, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
9 Mount Bethel RD
Suite 9
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 9
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 Dr. Kenneth J Donovan, DPM?

The NPI number of Dr. Kenneth J Donovan, DPM is 1588804132. It was assigned on February 23, 2009 and is currently active in the NPPES registry.

What is the specialty of Dr. Kenneth J Donovan, DPM?

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

Where does Dr. Kenneth J Donovan, DPM practice?

The practice location is 9 Mount Bethel RD, Suite 9, 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 1588804132 directly on the NPPES registry website.

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