Individual provider Active NPI

Elyann H Doebler, D.P.M.

  • Podiatrist
  • Hammonton, NJ
National Provider Identifier
1609122712
Registry record updated Feb 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
25MD00314100 Issued in NJ
Practice address
392 N White Horse Pike
Suite 102
Hammonton, NJ 08037-1866
Phone
(609) 704-9001
Fax
(609) 704-8316
NPI assigned
Jul 26, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 25MD00314100 NJ
Podiatrist 213E00000X 25MD00314100 NJ Primary

Addresses

Primary practice location

392 N White Horse Pike
Suite 102
Hammonton, NJ 08037-1866

Mailing address

392 N White Horse Pike
Suite 102
Hammonton, NJ 08037-1866
Phone (609) 704-9001

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
25MD00314100NJMDFoot & Ankle Surgery Podiatrist

NPI Registry JSON

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

{
    "created_epoch": "1343260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454976000000",
    "number": "1609122712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "392 N WHITE HORSE PIKE",
            "address_2": "SUITE 102",
            "city": "HAMMONTON",
            "state": "NJ",
            "postal_code": "080371866",
            "telephone_number": "609-704-9001",
            "fax_number": "609-704-8316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "392 N WHITE HORSE PIKE",
            "address_2": "SUITE 102",
            "city": "HAMMONTON",
            "state": "NJ",
            "postal_code": "080371866",
            "telephone_number": "609-704-9001",
            "fax_number": "609-704-8316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOEBLER",
        "first_name": "ELYANN",
        "middle_name": "H",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-26",
        "last_updated": "2016-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00314100",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00314100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammonton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2016; 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.