Brandon Macy

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

25MD00126200 Issued in NJ

Legal business name

BRANDON MACY

Practice address

1114 Raritan Rd
Clark, NJ 07066-1330

Phone

(732) 382-3470

NPI assigned

Jan 11, 2008

Last updated

Jun 12, 2008By 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. Brandon Macy, DPMNPI 1720083538

Title

Owner

Phone

(732) 382-3470

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brandon A Macy, DPM

  • Primary Podiatric Medicine Podiatrist
  • Clark, NJ
  • NPI 1720083538
  Authorized official Same address or phone

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

{
    "created_epoch": "1200009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1225214034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114 RARITAN RD",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070661330",
            "telephone_number": "732-382-3470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 RARITAN RD",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070661330",
            "telephone_number": "732-382-3470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDON MACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-11",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "MACY",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-382-3470",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NJ",
            "license": "25MD00126200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3057101",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Faye Bodenstein, ACSW
• Brian Boland
• Gary I. Borker, D.M.D.
• Stephen D Bosonac, DDS
• Samuel Fares Samuel Botros
• Ian Alfonzo Brewer, DC
• Wioletta Brodowska-Legiec, L.AC.
• Caitlin Bromm
• Danielle Brown
• Jolan T Browne, DPT

• Durable Medical Equipment & Medical Supplies in Clark, NJ
• Providers in Clark, 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 Jun 12, 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.