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Contact Information

ADVANCED PODIATRIC SERVICES
341 S EVERGREEN AVE
WOODBURY, NJ08096-2715
 Phone: 856-848-3338
 Fax: 856-848-5122
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for ADVANCED PODIATRIC SERVICES

NPI Number 1275676421
LBN Legal business name ADVANCED PODIATRIC SERVICES
Authorized official JOSEPH MEGARA - (OWNER OPERATER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/15/2007
Last updated 03/30/2009 - About 17 years ago
Identifiers
NJ License # NJ25MD00273100
NJ Medicaid 0103462
NJ Other 3650342 AETNA
NJ Other 5101610002 MEDICARE DME
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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