Dr. Russell Samofal, DPM
Podiatrist in Wayne, New Jersey
1982968517- Practice location
- 510 Hamburg Tpke, Suite 108, Wayne, NJ 07470
- Phone
- 973-925-4111
- Fax
- 973-925-7711
- Last updated
- April 23, 2019
Russell Samofal is a Podiatrist based in Wayne, NJ. Russell Samofal practices in Wayne, NJ and has the professional credentials of DPM. The NPI Number for Russell Samofal is 1982968517 and holds a License No. 25MD00323100 (NJ). The current practice location address for Russell Samofal is 510 Hamburg Tpke, Suite 108, Wayne, NJ 07470 and can be reached out via phone at 973-925-4111 and via fax at 973-925-7711.
Provider Profile Details
- NPI Number
- 1982968517
- Provider Name
- Russell Samofal
- Credential
- DPM
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 510 Hamburg Tpke, Suite 108, Wayne, NJ 07470
- Phone Number
- 973-925-4111
- Fax Number
- 973-925-7711
- Primary Taxonomy
- Podiatrist · 213E00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 28, 2012
- Last Update Date
- April 23, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 510 Hamburg Tpke
Suite 108
Wayne, NJ 07470 - City
- Wayne
- State
- New Jersey
- Zip
- 07470
- Phone Number
- 973-925-4111
- Fax Number
- 973-925-7711
Provider Business Mailing Address Details
- Address
- 510 Hamburg Tpke
Suite 108
Wayne, NJ 07470-2025 - City
- Wayne
- State
- NJ
- Zip
- 07470-2025
- Phone Number
- 973-925-4111
- Fax Number
- 973-925-7711
License Information
- License Number
- 25MD00323100
- License State
- NJ
- Taxonomy
- Podiatrist · 213E00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Podiatrists near Wayne, NJ
View all Podiatrists in Wayne →Frequently Asked Questions
What is the NPI number of Dr. Russell Samofal, DPM?
The NPI number of Dr. Russell Samofal, DPM is 1982968517. It was assigned on June 28, 2012 and is currently active in the NPPES registry.
What is the specialty of Dr. Russell Samofal, DPM?
Dr. Russell Samofal, DPM is registered under the primary taxonomy Podiatrist (code 213E00000X), licensed in NJ under license number 25MD00323100.
Where does Dr. Russell Samofal, DPM practice?
The practice location is 510 Hamburg Tpke, Suite 108, Wayne, NJ 07470. The office can be reached at 973-925-4111 (phone) or 973-925-7711 (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 1982968517 directly on the NPPES registry website.