Maplewood Foot and Ankle

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

25MD00137400 Issued in NJ

Legal business name

MAPLEWOOD FOOT AND ANKLE

Practice address

40 Greenwood Dr
Millburn, NJ 07041-1448

Phone

(973) 763-1248

NPI assigned

Aug 4, 2010

Last updated

Feb 27, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael Eglow, DPM

Title

Owner

Phone

(973) 763-1248

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1280880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361923200000",
    "number": "1073827804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 GREENWOOD DR",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411448",
            "telephone_number": "973-763-1248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 GREENWOOD DR",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411448",
            "telephone_number": "973-763-1248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLEWOOD FOOT AND ANKLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-04",
        "last_updated": "2013-02-27",
        "status": "A",
        "authorized_official_last_name": "EGLOW",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-763-1248",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00137400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carl N Malatesta, PT CHT
• William J Malta, D.C.
• Subita S Mangru, M.D.
• John Manicone
• Mark Jonathan Mann, MD
• Marian Medical Clinic PC
• Maureen Broderick Wilhelm LPT PA (Sports Training Physical Therapy)
• Maureen Broderick Wilhelm, LPT, PA (Sports Training Physical Therapy)
• Gail Holly Mautner, MD
• Frieda L Max, DMD

• Foot & Ankle Surgery Podiatrist in Millburn, NJ
• Providers in Millburn, NJ by specialty
• Foot & Ankle Surgery Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2013; 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.