Active NPIIndividual provider

Edward B Self Jr., MD

Orthopaedic Surgery in Ridgewood, New Jersey

NPI Number1891731790
Practice location
385 S Maple Ave, Ste 101, Ridgewood, NJ 07452-1543
Fax
201-447-8935
Last updated
September 9, 2008

Edward B Self is an Orthopaedic Surgery based in Ridgewood, NJ. Edward B Self practices in Ridgewood, NJ and has the professional credentials of MD. The NPI Number for Edward B Self is 1891731790 and holds a License No. MA33233 (NJ). The current practice location address for Edward B Self is 385 S Maple Ave, Ste 101, Ridgewood, NJ 07452-1543 and can be reached out via phone at 201-447-1188 and via fax at 201-447-8935.

Provider Profile Details

NPI Number
1891731790
Provider Name
Edward B Self
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
385 S Maple Ave, Ste 101, Ridgewood, NJ 07452-1543
Phone Number
201-447-1188
Fax Number
201-447-8935
Primary Taxonomy
Orthopaedic Surgery · 207X00000X
Sole Proprietor
No
Provider Enumeration Date
June 21, 2006
Last Update Date
September 9, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
385 S Maple Ave
Ste 101
Ridgewood, NJ 07452-1543
Zip
07452-1543
Phone Number
201-447-1188
Fax Number
201-447-8935
Ridgewood, NJ 07452Get directions →

Provider Business Mailing Address Details

Address
385 S Maple Ave
Ste 101
Ridgewood, NJ 07452-1543
City
Ridgewood
State
NJ
Zip
07452-1543
Phone Number
201-447-1188
Fax Number
201-447-8935

License Information

License Number
MA33233
License State
NJ
Taxonomy
Orthopaedic Surgery · 207X00000X · 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 Edward B Self Jr., MD?

The NPI number of Edward B Self Jr., MD is 1891731790. It was assigned on June 21, 2006 and is currently active in the NPPES registry.

What is the specialty of Edward B Self Jr., MD?

Edward B Self Jr., MD is registered under the primary taxonomy Orthopaedic Surgery (code 207X00000X), licensed in NJ under license number MA33233.

Where does Edward B Self Jr., MD practice?

The practice location is 385 S Maple Ave, Ste 101, Ridgewood, NJ 07452-1543. The office can be reached at 201-447-1188 (phone) or 201-447-8935 (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 1891731790 directly on the NPPES registry website.

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