Organization Active NPI

David & Gilbert D P M P a

  • Podiatrist
  • West Deptford, NJ
National Provider Identifier
1760545644
Registry record updated Feb 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
DAVID & GILBERT D P M P A
Practice address
297 Westwood Dr
Suite 106
West Deptford, NJ 08096-3144
Phone
(856) 848-6262
Fax
(856) 848-6649
NPI assigned
Dec 19, 2006
Last updated
Feb 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2008

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

Authorized official

Name
Stacy David Treiman, D.P.M.NPI 1568475606
Title
Podiatrist
Phone
(856) 848-6262

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X NU Primary

Addresses

Primary practice location

297 Westwood Dr
Suite 106
West Deptford, NJ 08096-3144

Mailing address

297 Westwood Dr
Suite 106
West Deptford, NJ 08096-3144
Phone (856) 848-6262

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041228000288 NJ Part B Supplier - Clinic/Group Practice 5193783934 Receives reassigned benefits from 2 practitioners
Practice locations: West Deptford, NJ

National Provider Directory

National Provider Directory

Locations

297 Westwood Dr
Ste 106
West Deptford, NJ 08096
Phone (609) 848-6262

Practitioners & affiliated clinicians

Practitioners 6

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": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203379200000",
    "number": "1760545644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "297 WESTWOOD DR",
            "address_2": "SUITE 106",
            "city": "WEST DEPTFORD",
            "state": "NJ",
            "postal_code": "080963144",
            "telephone_number": "856-848-6262",
            "fax_number": "856-848-6649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "297 WESTWOOD DR",
            "address_2": "SUITE 106",
            "city": "WEST DEPTFORD",
            "state": "NJ",
            "postal_code": "080963144",
            "telephone_number": "856-848-6262",
            "fax_number": "856-848-6649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID & GILBERT D P M P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2008-02-19",
        "status": "A",
        "authorized_official_last_name": "TREIMAN",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "856-848-6262",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Deptford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.