Edward B Self Jr., M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

MA33233 Issued in NJ

Practice address

385 S Maple Ave
Ste 101
Ridgewood, NJ 07452-1543

Phone

(201) 447-1188

Fax

(201) 447-8935

NPI assigned

Jun 21, 2006

Last updated

Sep 9, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220918400000",
    "number": "1891731790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 S MAPLE AVE",
            "address_2": "STE 101",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074521543",
            "telephone_number": "201-447-1188",
            "fax_number": "201-447-8935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 S MAPLE AVE",
            "address_2": "STE 101",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074521543",
            "telephone_number": "201-447-1188",
            "fax_number": "201-447-8935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELF",
        "first_name": "EDWARD",
        "middle_name": "B",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2008-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NJ",
            "license": "MA33233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne M Schultz, DDS
• Charles Milne Scielzo, M.D.
• Leah Ann Scilingo
• Michael F Scognamiglio, M.D.
• Boyd H Seidenberg, MD
• Michele D Seligman, LCSW
• Daniel Matthew Serra, APN
• Leah Serviano, RN
• Joel Servoss, DDS
• Carolyn Reager Settlow, LCSW

• Orthopaedic Surgery Physician in Ridgewood, NJ
• Providers in Ridgewood, NJ by specialty
• Orthopaedic Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.