Progressive Podiatry of North Jersey

Primary specialty

PodiatristTaxonomy code 213E00000X

License

25MD00272100 Issued in NJ

Legal business name

PROGRESSIVE PODIATRY OF NORTH JERSEY

Practice address

725 River Rd
Suite 201-a
Edgewater, NJ 07020-1171

Phone

(201) 840-7373

Fax

(201) 840-7383

NPI assigned

Aug 27, 2007

Last updated

Apr 22, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Corinne Jeanette Gehegan, DPMNPI 1447219191

Title

Sole Owner

Phone

(201) 840-7373

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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.

• Corinne Jeanette Gehegan, DPM

  • Podiatrist
  • Edgewater, NJ
  • NPI 1447219191
  Authorized official Same address or phone

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303430400000",
    "number": "1508050139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 RIVER RD",
            "address_2": "SUITE 201-A",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "070201171",
            "telephone_number": "201-840-7373",
            "fax_number": "201-840-7383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 RIVER RD",
            "address_2": "SUITE 201-A",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "070201171",
            "telephone_number": "201-840-7373",
            "fax_number": "201-840-7383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE PODIATRY OF NORTH JERSEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-27",
        "last_updated": "2011-04-22",
        "status": "A",
        "authorized_official_last_name": "GEHEGAN",
        "authorized_official_first_name": "CORINNE",
        "authorized_official_middle_name": "JEANETTE",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "201-840-7373",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00272100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE/CMS DME (PTAN)",
            "identifier": "6481920001",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1508050139",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anuja A Pradhan, MD
• Jasmin Rohit Prasad, FNP
• Premier Pulmonology and Critical Care Medicine LLC
• Premier Surgical Assist LLC
• Danielle Press, M.S, R.D
• Prohealth Care Associates of New Jersey LLP
• Prohealth Riverside Dental, LLC
• Prohealth Urgent Care Medicine of New Jersey LLP
• Christopher Pumill
• Rick Pumill, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.