Organization Active NPI

Marc Schlemovitz DPM PA

  • Foot & Ankle Surgery Podiatrist
  • Randolph, NJ
National Provider Identifier
1396079216
Registry record updated Dec 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
MARC SCHLEMOVITZ DPM PA
Practice address
121 Center Grove Road
Suite 1
Randolph, NJ 07869-4453
Phone
(973) 366-1016
Fax
(973) 366-2925
NPI assigned
Sep 24, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2010

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

Authorized official

Name
Dr. Marc Schlemovitz, D.P.M.
Title
President/Owner
Phone
(973) 366-1016

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

121 Center Grove Road
Suite 1
Randolph, NJ 07869-4453

Mailing address

121 Center Grove Rd.
Sutie 1
Randolph, NJ 07869-4453
Phone (973) 366-1016

National Provider Directory

National Provider Directory

Locations

121 Center Grove Rd
Ste 1
Randolph, NJ 07869
Phone (973) 366-1016

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1253750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293062400000",
    "number": "1396079216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 CENTER GROVE RD.",
            "address_2": "SUTIE 1",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078694453",
            "telephone_number": "973-366-1016",
            "fax_number": "973-366-2925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 CENTER GROVE ROAD",
            "address_2": "SUITE 1",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078694453",
            "telephone_number": "973-366-1016",
            "fax_number": "973-366-2925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARC SCHLEMOVITZ DPM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-24",
        "last_updated": "2010-12-23",
        "status": "A",
        "authorized_official_last_name": "SCHLEMOVITZ",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "973-366-1016",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Randolph, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.