Active NPI
Allen Scott Kirk, DPM
- Podiatrist
- West Milford, NJ
National Provider Identifier
1619078227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- MD01471
- Practice address
- 1485 Union Valley Rd Ste C
West Milford, NJ 07480-1317 - Phone
- (973) 728-2211
- Fax
- (973) 728-2237
- NPI assigned
- Sep 26, 2006
- Last updated
- Oct 21, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | MD01471 | NJ | Primary |
Addresses
Primary practice location
1485 Union Valley Rd Ste C
West Milford, NJ 07480-1317
Mailing address
1485C Union Valley Rd
West Milford, NJ 07480
Phone (973) 728-2211
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1097903 | Medicaid | NJ |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 003571 | NY | MD | Emergency Medicine Physician |
| MD01471 | NJ | MD | Podiatrist |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Foot & Ankle Surgery Podiatrist
- West Milford, NJ
- NPI 1750554127
-
- Foot & Ankle Surgery Podiatrist
- West Milford, NJ
- NPI 1194122085
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224547200000",
"number": "1619078227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1485C UNION VALLEY RD",
"city": "WEST MILFORD",
"state": "NJ",
"postal_code": "07480",
"telephone_number": "973-728-2211",
"fax_number": "973-728-2237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1485 UNION VALLEY RD STE C",
"city": "WEST MILFORD",
"state": "NJ",
"postal_code": "074801317",
"telephone_number": "973-728-2211",
"fax_number": "973-728-2237"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRK",
"first_name": "ALLEN",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-26",
"last_updated": "2008-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NJ",
"license": "MD01471",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1097903",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Milford, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.