1023062254 NPI number — MICHAEL E. NEWMAN DPM

Table of content: (NPI 1023062254)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1023062254 NPI number — MICHAEL E. NEWMAN DPM

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MICHAEL E. NEWMAN DPM
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
AMBLER PODIATRY ASSOCIATES
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1023062254
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/03/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1018 N BETHLEHEM PIKE
Provider Second Line Business Mailing Address:
SUITE C-2
Provider Business Mailing Address City Name:
AMBLER
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19002-2186
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
215-646-5990
Provider Business Mailing Address Fax Number:
215-646-2901

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1018 N BETHLEHEM PIKE
Provider Second Line Business Practice Location Address:
SUITE C-2
Provider Business Practice Location Address City Name:
AMBLER
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19002-2186
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-646-5990
Provider Business Practice Location Address Fax Number:
215-646-2901
Provider Enumeration Date:
05/20/2006

Additional Information

Authorized Official

Authorized Official Last Name:
NEWMAN
Authorized Official First Name:
MICHAEL
Authorized Official Middle Name:
ERIC
Authorized Official Title or Position:
OWNER/PODIATRIST
Authorized Official Telephone Number:
215-646-5990

Provider Taxonomy Codes

  • Taxonomy code: 213E00000X , with the licence number:  SC002887L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2024 www.npivalidator.com