Organization Active NPI

Dr. Jarret B. Drucker Podiatry PC

  • Foot & Ankle Surgery Podiatrist
  • Fair Lawn, NJ
National Provider Identifier
1972051985
Registry record updated Sep 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
25MD00330100 Issued in NJ
Legal business name
DR. JARRET B. DRUCKER PODIATRY PC
Practice address
15-01 Pollitt Dr
Unit 8B
Fair Lawn, NJ 07410-2769
Phone
(201) 773-6537
NPI assigned
Sep 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2016

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

Authorized official

Name
Dr. Jarret DruckerNPI 1023457488
Title
Doctor
Phone
(212) 486-7333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 25MD00330100 NJ Primary

Addresses

Primary practice location

15-01 Pollitt Dr
Unit 8B
Fair Lawn, NJ 07410-2769

Mailing address

121 E 60TH St
Suite 3D
New York, NY 10022-1117
Phone (212) 846-7333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161111000925 NJ Part B Supplier - Clinic/Group Practice 8820377088 Receives reassigned benefits from 1 practitioner
Practice locations: Fair Lawn, NJ

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.

NPI Registry JSON

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

{
    "created_epoch": "1474243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474243200000",
    "number": "1972051985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 E 60TH ST",
            "address_2": "SUITE 3D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221117",
            "telephone_number": "212-846-7333",
            "fax_number": "212-846-7555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15-01 POLLITT DR",
            "address_2": "UNIT 8B",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074102769",
            "telephone_number": "201-773-6537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JARRET B. DRUCKER PODIATRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-19",
        "last_updated": "2016-09-19",
        "status": "A",
        "authorized_official_last_name": "DRUCKER",
        "authorized_official_first_name": "JARRET",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "212-486-7333",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00330100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Lawn, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2016; 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.