Paul R. Quintavalle

Primary specialty

PodiatristTaxonomy code 213E00000X

License

MD00105600 Issued in NJ

Legal business name

PAUL R. QUINTAVALLE

Practice address

879 Haddon Ave
Collingswood, NJ 08108-1941

Phone

(856) 858-0180

Fax

(858) 869-3080

NPI assigned

Nov 1, 2016

Organization subpart

No

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

Authorized official

Name

Paul R. Quintavalle, DPMNPI 1740219161

Title

Owner

Phone

(856) 858-0180

Specialties & licenses 2

Addresses

Other identifiers 1

Practitioners 1

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

• Paul R Quintavalle Jr., DPM

  • Foot & Ankle Surgery Podiatrist
  • Cherry Hill, NJ
  • NPI 1740219161
  NPD (past) Authorized official

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

{
    "created_epoch": "1477958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477958400000",
    "number": "1841742301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "879 HADDON AVE",
            "city": "COLLINGSWOOD",
            "state": "NJ",
            "postal_code": "081081941",
            "telephone_number": "856-858-0180",
            "fax_number": "858-869-3080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "879 HADDON AVE",
            "city": "COLLINGSWOOD",
            "state": "NJ",
            "postal_code": "081081941",
            "telephone_number": "856-858-0180",
            "fax_number": "858-869-3080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL R. QUINTAVALLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-01",
        "last_updated": "2016-11-01",
        "status": "A",
        "authorized_official_last_name": "QUINTAVALLE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-858-0180",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "MD00105600",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "MD00105600",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1735501",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Brittany Parrott
• Jennifer Nicole Perez
• Kimberly Pillis, MA, LAC
• Alexis Pinto
• Amanda Caroline Pirilli, OTR/L
• Emily Potash

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.