Organization Active NPI

Paul Saks DPM,PA

  • Podiatrist
  • Avenel, NJ
National Provider Identifier
1477721744
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
25MD00112700 Issued in NJ
Legal business name
PAUL SAKS DPM,PA
Practice address
415 Avenel St Ste B
Avenel, NJ 07001-1147
Phone
(732) 634-4300
Fax
(732) 634-4302
NPI assigned
Feb 20, 2008
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Paul Saks, DPM PANPI 1225050230
Title
President
Phone
(732) 299-7659

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 25MD00112700 NJ Primary

Addresses

Primary practice location

415 Avenel St Ste B
Avenel, NJ 07001-1147

Mailing address

415 Avenel St Ste B
Avenel, NJ 07001-1147
Phone (732) 634-4300

Other practice location 1

521 Green St
2nd Floor
Iselin, NJ 08830-2618
Phone (732) 636-3737

Other identifiers 1

IdentifierTypeStateIssuer
3017800MedicaidNJ

National Provider Directory

National Provider Directory

Locations

415 Avenel St
Ste B
Avenel, NJ 07001
Phone (732) 634-4300

517 Route 1 S
Ste 5555
Iselin, NJ 08830
Phone (732) 527-0185

50 Franklin Ln
Manalapan, NJ 07726
Phone (732) 617-5990

676 Amboy Ave
Woodbridge, NJ 07095
Phone (732) 636-2900

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1203465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1477721744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 AVENEL ST STE B",
            "city": "AVENEL",
            "state": "NJ",
            "postal_code": "070011147",
            "telephone_number": "732-634-4300",
            "fax_number": "732-634-4302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 AVENEL ST STE B",
            "city": "AVENEL",
            "state": "NJ",
            "postal_code": "070011147",
            "telephone_number": "732-634-4300",
            "fax_number": "732-634-4302"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "521 Green St",
            "address_2": "2nd Floor",
            "address_purpose": "LOCATION",
            "city": "Iselin",
            "state": "NJ",
            "postal_code": "088302618",
            "country_code": "US",
            "telephone_number": "732-636-3737",
            "fax_number": "732-750-1820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PAUL SAKS DPM,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-20",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SAKS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-299-7659",
        "authorized_official_credential": "DPM PA"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00112700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3017800",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Avenel, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.