Jay Mukker DPM Inc

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

E4656 Issued in CA

Legal business name

JAY MUKKER DPM INC

Practice address

7210 N Milburn Ave
Suite 101
Fresno, CA 93722-0022

Phone

(559) 224-5101

Fax

(559) 224-4396

NPI assigned

Jun 2, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Jay Mukker, DPM

Title

Owner

Phone

(559) 224-5101

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Razan Husam Kaileh, DPM

  • Foot & Ankle Surgery Podiatrist
  • Kerman, CA
  • NPI 1720573835
  Medicare reassignment NPD
• Gavin Lee

  • Foot & Ankle Surgery Podiatrist
  • Fresno, CA
  • NPI 1760978290
  Medicare reassignment NPD
• Jagpreet Mukker, DPM

  • Foot & Ankle Surgery Podiatrist
  • Fresno, CA
  • NPI 1699732156
  Medicare reassignment NPD
• Larry D Scortt, D.P.M.

  • Podiatrist
  • Fresno, CA
  • NPI 1538131578
  Medicare reassignment NPD

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

{
    "created_epoch": "1275436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338940800000",
    "number": "1962722983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7210 N MILBURN AVE",
            "address_2": "SUITE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937220022",
            "telephone_number": "559-224-5101",
            "fax_number": "559-224-4396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7210 N MILBURN AVE",
            "address_2": "SUITE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937220022",
            "telephone_number": "559-224-5101",
            "fax_number": "559-224-4396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY MUKKER DPM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-02",
        "last_updated": "2012-06-06",
        "status": "A",
        "authorized_official_last_name": "MUKKER",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-224-5101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4656",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "E46560",
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "CA",
            "license": "E46560",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "CA",
            "license": "E46560",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E46560",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Haseeb Javed, MBBS
• Usman Javed, MD
• Roza Javeri
• Mohsin Jawed, M.D.
• William Joseph Jawien, MD
• Jaya Krishna Chintanaboina MD Incorporated
• Samuel Jazo-Castaneda
• Jcarlos Mendoza, D.D.S., a Professional Dental Corporation
• JDT Consultants
• JDT Consultants

• Foot & Ankle Surgery Podiatrist in Fresno, CA
• Providers in Fresno, CA by specialty
• Foot & Ankle Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.