Organization Active NPI

Patricia Berran

  • Foot & Ankle Surgery Podiatrist
  • West Orange, NJ
National Provider Identifier
1861675134
Registry record updated Oct 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
25MD00216900 Issued in NJ
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2008

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

Authorized official

Name
Dr. Patricia BerranNPI 1992707079
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
6765408MedicaidNJ

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.