Individual provider Active NPI

Alan D Budman, DPM

  • Podiatrist
  • Somerdale, NJ
National Provider Identifier
1295727642
Registry record updated Nov 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
25MD00120100 Issued in NJ
Practice address
301 E Somerdale Rd
Somerdale, NJ 08083-1107
Phone
(856) 783-2800
NPI assigned
Aug 19, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 25MD00120100 NJ Primary

Addresses

Primary practice location

301 E Somerdale Rd
Somerdale, NJ 08083-1107

Mailing address

301 E Somerdale Rd
Somerdale, NJ 08083-1107
Phone (856) 783-2800

Other identifiers 1

IdentifierTypeStateIssuer
0347604MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25MD00120100NJMDPodiatrist

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CAFBBA

NPI Registry JSON

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320883200000",
    "number": "1295727642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 E SOMERDALE RD",
            "city": "SOMERDALE",
            "state": "NJ",
            "postal_code": "080831107",
            "telephone_number": "856-783-2800",
            "fax_number": "856-783-7669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E SOMERDALE RD",
            "city": "SOMERDALE",
            "state": "NJ",
            "postal_code": "080831107",
            "telephone_number": "856-783-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUDMAN",
        "first_name": "ALAN",
        "middle_name": "D",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2011-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00120100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0347604",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerdale, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2011; 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.