NPIMap

Individual provider Active NPI

Ira Alan Hauptman, DPM

  • Primary Podiatric Medicine Podiatrist
  • Florham Park, NJ
National Provider Identifier
1922051556
Registry record updated Aug 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
25MD001125 Issued in NJ
Practice address
256 Columbia Tpke
Suite 203
Florham Park, NJ 07932-1244
Phone
(973) 966-1200
Fax
(973) 966-0238
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X 25MD001125 NJ Primary
Sports Medicine Podiatrist 213ES0000X 25MD001125 NJ
Foot Surgery Podiatrist 213ES0131X 25MD001125 NJ

Addresses

Primary practice location

256 Columbia Tpke
Suite 203
Florham Park, NJ 07932-1244

Mailing address

256 Columbia Tpke
Suite 203
Florham Park, NJ 07932-1244
Phone (973) 966-1200

Other identifiers 1

IdentifierTypeStateIssuer
0626104MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25MD001125NJMDSports Medicine Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
New Jersey Foot and Ankle Past Accepting new patients
RF Ledon M.D. P.C. Past Accepting new patients
New Jersey Digestive Disease Associates, PC Past Accepting new patients
Ira Hauptman DPM PC Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313625600000",
    "number": "1922051556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 COLUMBIA TPKE",
            "address_2": "SUITE 203",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079321244",
            "telephone_number": "973-966-1200",
            "fax_number": "973-966-0238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 COLUMBIA TPKE",
            "address_2": "SUITE 203",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079321244",
            "telephone_number": "973-966-1200",
            "fax_number": "973-966-0238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUPTMAN",
        "first_name": "IRA",
        "middle_name": "ALAN",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2011-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NJ",
            "license": "25MD001125",
            "primary": true
        },
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "NJ",
            "license": "25MD001125",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NJ",
            "license": "25MD001125",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0626104",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florham Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2011; 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.