Douglas J McKay DPM LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

DOUGLAS J MCKAY DPM LLC

Practice address

31 Smull Avenue
Caldwell, NJ 07006-5011

Phone

(973) 228-5042

Fax

(973) 228-2826

NPI assigned

Sep 16, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Douglas J McKay, DPMNPI 1962428789

Title

Owner/Physician

Phone

(973) 632-3888

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 2

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

• Douglas J McKay, DPM

  • Podiatrist
  • Caldwell, NJ
  • NPI 1962428789
  Medicare reassignment Care Compare group NPD Authorized official
• Albert J Wacha, DPM

  • Primary Podiatric Medicine Podiatrist
  • Caldwell, NJ
  • NPI 1407954324
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1284595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732147200000",
    "number": "1376851063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 SMULL AVENUE",
            "city": "CALDWELL",
            "state": "NJ",
            "postal_code": "070065011",
            "telephone_number": "973-228-5042",
            "fax_number": "973-228-2826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 SMULL AVENUE",
            "city": "CALDWELL",
            "state": "NJ",
            "postal_code": "070065011",
            "telephone_number": "973-228-5042",
            "fax_number": "973-228-2826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS J MCKAY DPM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-16",
        "last_updated": "2024-11-21",
        "status": "A",
        "authorized_official_last_name": "MCKAY",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "973-632-3888",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7988605",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ruth M Debar, BCBA-D, LBA
• Lauren F Defilippo Taibi, LPC
• Leslie Anne Dessources, MS, CCC-SLP
• Charles Eugene Dodgen, PH.D.
• Dominic Smorra,D.C.,P.a.
• Braelan Drollas
• E. Mercedes Consulting and Services
• Edward E. Baker, D.D.S., P.a.
• Susan Eisenberg, ACSW
• Elizabeth Greenburg Counselor LLC

• Podiatrist in Caldwell, NJ
• Providers in Caldwell, NJ by specialty
• Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.