Active NPI
Patricia Berran
- Foot & Ankle Surgery Podiatrist
- West Orange, NJ
National Provider Identifier
1861675134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 25MD00216900
- Legal business name
- PATRICIA BERRAN
- Practice address
- 1500 Pleasant Valley Way
Suite 305
West Orange, NJ 07052-2956 - Phone
- (973) 736-9936
- Fax
- (973) 736-7993
- NPI assigned
- Dec 10, 2007
- Last updated
- Oct 13, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Patricia Berran
- Title
- Doctor
- Phone
- (973) 736-9936
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 25MD00216900 | NJ | Primary |
Addresses
Primary practice location
1500 Pleasant Valley Way
Suite 305
West Orange, NJ 07052-2956
Mailing address
1500 Pleasant Valley Way
Suite 305
West Orange, NJ 07052-2956
Phone (973) 736-9936
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6765408 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Foot & Ankle Surgery Podiatrist
- West Orange, NJ
- NPI 1992707079
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197244800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1223856000000",
"number": "1861675134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 PLEASANT VALLEY WAY",
"address_2": "SUITE 305",
"city": "WEST ORANGE",
"state": "NJ",
"postal_code": "070522956",
"telephone_number": "973-736-9936",
"fax_number": "973-736-7993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 PLEASANT VALLEY WAY",
"address_2": "SUITE 305",
"city": "WEST ORANGE",
"state": "NJ",
"postal_code": "070522956",
"telephone_number": "973-736-9936",
"fax_number": "973-736-7993"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PATRICIA BERRAN",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-10",
"last_updated": "2008-10-13",
"status": "A",
"authorized_official_last_name": "BERRAN",
"authorized_official_first_name": "PATRICIA",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "973-736-9936",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NJ",
"license": "25MD00216900",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6765408",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Orange, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.