Richard E Kwasnik, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

25MD00100100 Issued in NJ

Practice address

205 N Haddon Ave
Haddonfield, NJ 08033-2322

Phone

(856) 429-1859

Fax

(856) 354-2111

NPI assigned

Sep 12, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Raymond Filipponi DPM PA

  • Podiatrist
  • Gibbstown, NJ
  • NPI 1336250984
  NPD (past)

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217808000000",
    "number": "1023003571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1156",
            "city": "HADDONFIELD",
            "state": "NJ",
            "postal_code": "080330709",
            "telephone_number": "856-429-1859",
            "fax_number": "856-354-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 N HADDON AVE",
            "city": "HADDONFIELD",
            "state": "NJ",
            "postal_code": "080332322",
            "telephone_number": "856-429-1859",
            "fax_number": "856-354-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWASNIK",
        "first_name": "RICHARD",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-12",
        "last_updated": "2008-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00100100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "354430301",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Podiatrist in Haddonfield, NJ
• Providers in Haddonfield, NJ by specialty
• Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2008; 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.