Active NPIIndividual provider

Dr. Michael Rallatos, DPM

Podiatrist, Foot & Ankle Surgery in Kenilworth, New Jersey

NPI Number1962431445
Practice location
528 Boulevard, Kenilworth, NJ 07033-1657
Fax
908-709-0163
Last updated
June 2, 2008

Michael Rallatos is a Podiatrist, Foot & Ankle Surgery based in Kenilworth, NJ. Michael Rallatos practices in Kenilworth, NJ and has the professional credentials of DPM. The NPI Number for Michael Rallatos is 1962431445 and holds a License No. 25MD00286500 (NJ). The current practice location address for Michael Rallatos is 528 Boulevard, Kenilworth, NJ 07033-1657 and can be reached out via phone at 908-276-6624 and via fax at 908-709-0163.

Provider Profile Details

NPI Number
1962431445
Provider Name
Michael Rallatos
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
528 Boulevard, Kenilworth, NJ 07033-1657
Phone Number
908-276-6624
Fax Number
908-709-0163
Primary Taxonomy
Podiatrist, Foot & Ankle Surgery · 213ES0103X
Sole Proprietor
No
Provider Enumeration Date
June 30, 2006
Last Update Date
June 2, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
528 Boulevard
Kenilworth, NJ 07033-1657
Zip
07033-1657
Phone Number
908-276-6624
Fax Number
908-709-0163
Kenilworth, NJ 07033Get directions →

Provider Business Mailing Address Details

Address
528 Boulevard
Kenilworth, NJ 07033-1657
City
Kenilworth
State
NJ
Zip
07033-1657
Phone Number
908-276-6624
Fax Number
908-709-0163

License Information

License Number
25MD00286500
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. Michael Rallatos, DPM?

The NPI number of Dr. Michael Rallatos, DPM is 1962431445. It was assigned on June 30, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Michael Rallatos, DPM?

Dr. Michael Rallatos, DPM is registered under the primary taxonomy Podiatrist, Foot & Ankle Surgery (code 213ES0103X), licensed in NJ under license number 25MD00286500.

Where does Dr. Michael Rallatos, DPM practice?

The practice location is 528 Boulevard, Kenilworth, NJ 07033-1657. The office can be reached at 908-276-6624 (phone) or 908-709-0163 (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 1962431445 directly on the NPPES registry website.

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