New Jersey Podiatric Physicians and Surgeons Group, LLC

Key facts

NPI

1013346790

Entity type

Organization (NPI type 2)

Primary specialty

Foot & Ankle Surgery Podiatrist 213ES0103X

Legal business name

NEW JERSEY PODIATRIC PHYSICIANS AND SURGEONS GROUP, LLC

Practice address

1130 Blackwood Clementon Rd
Pine Hill, NJ 08021-6966

Phone

(856) 783-3366

Fax

(856) 782-1648

NPI assigned

Nov 4, 2013

Organization subpart

No

Authorized official

Name

Hal Ornstein, D.P.M.

Title

President

Phone

(732) 994-5333

National Provider Directory

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 4, 2013.

{
    "created_epoch": "1383523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383523200000",
    "number": "1013346790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4633 HIGHWAY 9 NORTH",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "077313324",
            "telephone_number": "732-994-5333",
            "fax_number": "732-994-5336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 BLACKWOOD CLEMENTON RD",
            "city": "PINE HILL",
            "state": "NJ",
            "postal_code": "080216966",
            "telephone_number": "856-783-3366",
            "fax_number": "856-782-1648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW JERSEY PODIATRIC PHYSICIANS AND SURGEONS GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-04",
        "last_updated": "2013-11-04",
        "status": "A",
        "authorized_official_last_name": "ORNSTEIN",
        "authorized_official_first_name": "HAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-994-5333",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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