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Contact Information

MARY ELLEN MCCOY, DPM
65-H LACEY ROAD
WHITING, NJ08759
 Phone: 732-350-7465
 Fax: 732-350-7105
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for MARY ELLEN MCCOY, DPM

NPI # 1538234448
LBN Legal business name MARY ELLEN MCCOY, DPM
Authorized official MARYELLEN MCCOY - (DOCTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 11/24/2006
Last updated 06/21/2018 - About 8 years ago
Identifiers
NJ License # MD01747
NJ Medicaid 0774901
NJ Other 0102229000 AMERIHEALTH
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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