Dpmschultzprnj PA

Primary specialty

PodiatristTaxonomy code 213E00000X

License

25MD00263800 Issued in NJ

Legal business name

DPMSCHULTZPRNJ PA

Practice address

1195 Route 70
Unit 12
Lakewood, NJ 08701-5946

Phone

(732) 240-9223

Fax

(732) 370-9222

NPI assigned

Jan 6, 2012

Organization subpart

No

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

Authorized official

Name

Brian J Schultz, DPM

Title

Owner

Phone

(917) 885-2613

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1325808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325808000000",
    "number": "1881964963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1195 ROUTE 70",
            "address_2": "UNIT 12",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015946",
            "telephone_number": "732-240-9223",
            "fax_number": "732-370-9222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1195 ROUTE 70",
            "address_2": "UNIT 12",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015946",
            "telephone_number": "732-240-9223",
            "fax_number": "732-370-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DPMSCHULTZPRNJ PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-06",
        "last_updated": "2012-01-06",
        "status": "A",
        "authorized_official_last_name": "SCHULTZ",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-885-2613",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00263800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2012; 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.