Organization Active NPI

Ronald L. Brittner DPM

  • Durable Medical Equipment & Medical Supplies
  • Pennsville, NJ
National Provider Identifier
1801074240
Registry record updated Mar 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
25MD00094200 Issued in NJ
Legal business name
RONALD L. BRITTNER DPM
Practice address
390 N Broadway
Suite 1100
Pennsville, NJ 08070-1253
Phone
(856) 678-6665
Fax
(856) 678-7877
NPI assigned
Feb 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2010

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

Authorized official

Name
Dr. Ronald L Brittner, DPM
Title
Podiatrist
Phone
(856) 678-6665

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 25MD00094200 NJ Primary

Addresses

Primary practice location

390 N Broadway
Suite 1100
Pennsville, NJ 08070-1253

Mailing address

390 N Broadway
Suite 1100
Pennsville, NJ 08070-1253
Phone (856) 678-6665

Other identifiers 1

IdentifierTypeStateIssuer
2407906MedicaidNJ

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268006400000",
    "number": "1801074240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 N BROADWAY",
            "address_2": "SUITE 1100",
            "city": "PENNSVILLE",
            "state": "NJ",
            "postal_code": "080701253",
            "telephone_number": "856-678-6665",
            "fax_number": "856-678-7877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 N BROADWAY",
            "address_2": "SUITE 1100",
            "city": "PENNSVILLE",
            "state": "NJ",
            "postal_code": "080701253",
            "telephone_number": "856-678-6665",
            "fax_number": "856-678-7877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD L. BRITTNER DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-07",
        "last_updated": "2010-03-08",
        "status": "A",
        "authorized_official_last_name": "BRITTNER",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "856-678-6665",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NJ",
            "license": "25MD00094200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2407906",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pennsville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2010; 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.