Samuel Udell

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

25MD00157100 Issued in NJ

Legal business name

SAMUEL UDELL

Practice address

5635 Westfield Ave
Pennsauken, NJ 08110-1853

Phone

(856) 662-8999

Fax

(856) 662-8855

NPI assigned

Oct 17, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Samuel UdellNPI 1841244837

Title

Podiatrist

Phone

(856) 662-8999

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samuel Udell, DPM

  • Podiatrist
  • Pennsauken, NJ
  • NPI 1841244837
  NPD (past) Authorized official

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1194806356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5635 WESTFIELD AVE",
            "city": "PENNSAUKEN",
            "state": "NJ",
            "postal_code": "081101853",
            "telephone_number": "856-662-8999",
            "fax_number": "856-662-8855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5635 WESTFIELD AVE",
            "city": "PENNSAUKEN",
            "state": "NJ",
            "postal_code": "081101853",
            "telephone_number": "856-662-8999",
            "fax_number": "856-662-8855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL UDELL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "UDELL",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "856-662-8999",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NJ",
            "license": "25MD00157100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Pennsauken, NJ
• Providers in Pennsauken, NJ by specialty
• Durable Medical Equipment & Medical Supplies in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; 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.