Paul Thomas Staunton, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

25MD00182800 Issued in NJ

Practice address

11 Windsor PL
Wayne, NJ 07470

Phone

(973) 942-4603

Fax

(973) 782-5633

NPI assigned

Mar 23, 2006

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

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527811200000",
    "number": "1104886225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 WINDSOR PL",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074701923",
            "telephone_number": "973-942-4603",
            "fax_number": "973-782-5633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 WINDSOR PL",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "07470",
            "telephone_number": "973-942-4603",
            "fax_number": "973-782-5633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAUNTON",
        "first_name": "PAUL",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2018-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00182800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1795708",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• St. Joseph'S Dialysis , LLC
• St. Joseph'S Wayne Hospital
• St. Joseph'S Wayne Hospital
• George Michael Stagg, PHARMACIST
• Michael John Stas, DPM
• Richard L Stein, O.D.
• Michael Steinberg, MD
• Kenneth M Steinhouse, MD
• Krista L. Stelmach, R.D.
• Lorraine C. Stern, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.