Active NPIIndividual provider

Dr. Mireille Blanchette Desrosiers, DPM

Podiatrist, Foot & Ankle Surgery in Mountainside, New Jersey

NPI Number1609127257
Practice location
1156 Springfield Ave, Mountainside, NJ 07092-2906
Fax
908-325-0040
Last updated
December 31, 2021

Mireille Blanchette Desrosiers is a Podiatrist, Foot & Ankle Surgery based in Mountainside, NJ. Mireille Blanchette Desrosiers practices in Mountainside, NJ and has the professional credentials of DPM. The NPI Number for Mireille Blanchette Desrosiers is 1609127257 and holds a License No. 25MD00322700 (NJ). The current practice location address for Mireille Blanchette Desrosiers is 1156 Springfield Ave, Mountainside, NJ 07092-2906 and can be reached out via phone at 908-793-8454 and via fax at 908-325-0040.

Provider Profile Details

NPI Number
1609127257
Provider Name
Mireille Blanchette Desrosiers
Credential
DPM
Provider Entity Type
Individual
Gender
Female
Address
1156 Springfield Ave, Mountainside, NJ 07092-2906
Phone Number
908-793-8454
Fax Number
908-325-0040
Primary Taxonomy
Podiatrist, Foot & Ankle Surgery · 213ES0103X
Sole Proprietor
No
Provider Enumeration Date
September 23, 2012
Last Update Date
December 31, 2021
Certification Date
August 30, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
1156 Springfield Ave
Mountainside, NJ 07092-2906
Zip
07092-2906
Phone Number
908-793-8454
Fax Number
908-325-0040
Mountainside, NJ 07092Get directions →

Provider Business Mailing Address Details

Address
1156 Springfield Ave
Mountainside, NJ 07092-2906
City
Mountainside
State
NJ
Zip
07092-2906
Phone Number
908-793-8454
Fax Number
908-325-0040

License Information

License Number
25MD00322700
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. Mireille Blanchette Desrosiers, DPM?

The NPI number of Dr. Mireille Blanchette Desrosiers, DPM is 1609127257. It was assigned on September 23, 2012 and is currently active in the NPPES registry.

What is the specialty of Dr. Mireille Blanchette Desrosiers, DPM?

Dr. Mireille Blanchette Desrosiers, DPM is registered under the primary taxonomy Podiatrist, Foot & Ankle Surgery (code 213ES0103X), licensed in NJ under license number 25MD00322700.

Where does Dr. Mireille Blanchette Desrosiers, DPM practice?

The practice location is 1156 Springfield Ave, Mountainside, NJ 07092-2906. The office can be reached at 908-793-8454 (phone) or 908-325-0040 (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 1609127257 directly on the NPPES registry website.

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