Dr Michele Parker DPM PA

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

DR MICHELE PARKER DPM PA

Practice address

1156 Liberty Ave
Hillside, NJ 07205-2142

Phone

(908) 351-1626

NPI assigned

Sep 20, 2007

Organization subpart

No

Name

Dr. Michele Parker, DPM

Title

President

Phone

(908) 351-1626

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 28, 2010.

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264636800000",
    "number": "1225224587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1156 LIBERTY AVE",
            "city": "HILLSIDE",
            "state": "NJ",
            "postal_code": "072052142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1156 LIBERTY AVE",
            "city": "HILLSIDE",
            "state": "NJ",
            "postal_code": "072052142",
            "telephone_number": "908-351-1626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR MICHELE PARKER DPM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-20",
        "last_updated": "2010-01-28",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-351-1626",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3011704-01",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Developmental Disabilities Association of NJ Inc.
• Mattiana Stephanie Di Martino
• Carolyn Dick, LPN
• Divine Heritage Healthcare, LLC.
• Christian Dort, MD
• Drug Fair Group, Inc.
• Eclectic Solutions Counseling
• Tyla Malikka Edwards
• Adaobi Egbuchunam
• Marie G Eliacin

• All providers in Hillside, NJ
• Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2010; 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.