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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

JOHN C KING, D.P.M., D.C.
1 BAY AVE
3RD FLOOR
MONTCLAIR, NJ07042-4837
 Phone: 973-429-6988
 Fax: 973-680-7779
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
 

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for JOHN C KING · (Male)

NPI Number 1275721946
Credentials D.P.M., D.C.
Entity Individual
Enumeration date 10/09/2007
Last updated 03/31/2010 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
NJ License # 25MD00294000
NJ License # 38MC00669600
NY License # N006213
OH License # 003454
NY Medicaid 02937497
Medicare NSC 1275721946
Medicare PIN P00478658
NJ Medicare PIN 138497
NY Medicare PIN RB6089
NY Other P010306213 BLUE CROSS/BLUE SHIELD
Hospital affiliation(s)
  • CHILTON HOSPITAL - (Acute Care)
    97 WEST PARKWAY
    POMPTON PLAINS, NJ 07444
  • HACKENSACK UMC MOUNTAINSIDE - (Acute Care)
    BAY AND HIGHLAND AVE
    MONTCLAIR, NJ 07042
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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