Jack Testa, DPM

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

MD00160000 Issued in NJ

Practice address

4808 Bergenline Ave
Suite 202
Union City, NJ 07087-5172

Phone

(201) 863-0036

Fax

(201) 863-0727

NPI assigned

Mar 8, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GGAICD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Advanced Garden State Cardiology LLC

  • Cardiovascular Disease Physician
  • Jersey City, NJ
  • NPI 1639481583
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279670400000",
    "number": "1013985951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4808 BERGENLINE AVE",
            "address_2": "STE 202",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070875172",
            "telephone_number": "201-863-0036",
            "fax_number": "201-863-0727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4808 BERGENLINE AVE",
            "address_2": "SUITE 202",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070875172",
            "telephone_number": "201-863-0036",
            "fax_number": "201-863-0727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESTA",
        "first_name": "JACK",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2010-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NJ",
            "license": "MD00160000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3354601",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1013076256",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4904303",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1013985951",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tania Taveras, LSW
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• Reina Tejada, CRCST
• Amanuel Teklemariam
• Telemedcss LLC
• The Arc of Hudson County
• The City of Union City EMS
• The Domingo Center
• The in-Home Parent Coach, LLC
• The Millennial Lactation Consultant LLC

• Foot Surgery Podiatrist in Union City, NJ
• Providers in Union City, NJ by specialty
• Foot Surgery Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.