Active NPI
Frank J. Brady Jr DPM
- Podiatrist
- West Orange, NJ
National Provider Identifier
1285819037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- MD001218
- Legal business name
- FRANK J. BRADY JR DPM
- Practice address
- 470 Prospect Ave
West Orange, NJ 07052-4153 - Phone
- (973) 669-1119
- Fax
- (973) 669-1031
- NPI assigned
- Dec 28, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Frank Joseph Brady Jr., DPM
- Title
- Owner
- Phone
- (973) 669-1119
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | MD001218 | NJ | Primary |
Addresses
Primary practice location
470 Prospect Ave
West Orange, NJ 07052-4153
Mailing address
470 Prospect Ave
West Orange, NJ 07052-4153
Phone (973) 669-1119
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3136302 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryLocations
470 Prospect Ave
West Orange, NJ 07052
Phone (973) 669-1119
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198800000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1199491200000",
"number": "1285819037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "470 PROSPECT AVE",
"city": "WEST ORANGE",
"state": "NJ",
"postal_code": "070524153",
"telephone_number": "973-669-1119",
"fax_number": "973-669-1031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "470 PROSPECT AVE",
"city": "WEST ORANGE",
"state": "NJ",
"postal_code": "070524153",
"telephone_number": "973-669-1119",
"fax_number": "973-669-1031"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRANK J. BRADY JR DPM",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-28",
"last_updated": "2008-01-05",
"status": "A",
"authorized_official_last_name": "BRADY",
"authorized_official_first_name": "FRANK",
"authorized_official_middle_name": "JOSEPH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "973-669-1119",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "NJ",
"license": "MD001218",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3136302",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Orange, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.