Gary J Faden DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

25MD00114700 Issued in NJ

Legal business name

GARY J FADEN DPM

Practice address

216 Jack Martin Blvd
Suite D4
Brick, NJ 08724-7771

Phone

(732) 458-8383

Fax

(732) 458-8965

NPI assigned

Dec 14, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Gary J. Faden, DPMNPI 1295745263

Title

Owner

Phone

(732) 458-8383

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gary J. Faden, DPM

  • Podiatrist
  • Brick, NJ
  • NPI 1295745263
  NPD Authorized official

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

{
    "created_epoch": "1197590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372291200000",
    "number": "1821271776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 JACK MARTIN BLVD",
            "address_2": "SUITE D4",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087247771",
            "telephone_number": "732-458-8383",
            "fax_number": "732-458-8965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 JACK MARTIN BLVD",
            "address_2": "SUITE D4",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087247771",
            "telephone_number": "732-458-8383",
            "fax_number": "732-458-8965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY J FADEN DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-14",
        "last_updated": "2013-06-27",
        "status": "A",
        "authorized_official_last_name": "FADEN",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-458-8383",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00114700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Morgan Garelick
• Mary L. Garner, PT, DPT
• William Garry, PA-C
• Randi Gartner, DPT
• Gary a, Heubel, O.D.,P.a.
• Michael Gatto, BC-HIS
• Alexis Nicole Gazzara
• Adekunle Gbadamosi, M.D
• Jack Martin Gelb, D.D.S.
• Mina Gendy, PHARM.D

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2013; 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.