Ponce, Javier Ricardo

Ponce, Javier Ricardo is an individual health care provider with primary practice located at 654 Mount Prospect Ave Ste 301 , Newark NJ 07104-3110. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Ponce, Javier Ricardo can be contacted via phone (973) 482-7007.

Contact Information

Primary practice address
654 Mount Prospect Ave Ste 301 Newark NJ 07104-3110
Phone: (973) 482-7007
Fax: (973) 482-9333
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 25MD00246800 New Jersey

Profile Details

NPI number 1679689764
LBN Legal business name Ponce, Javier Ricardo
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2006
Last updated May 9th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679689764 NPPES
New Jersey Other 01000308101 AMERICHOICE OF NJ
New Jersey Other 01000308103 AMERICHOICE OF NJ
New Jersey Other 01000308102 AMERICHOICE OF NJ
New Jersey Other 1135990 AMERICHOICE OF NJ
New Jersey Other P2174641 AMERICHOICE OF NJ
New Jersey Other 480030704 AMERICHOICE OF NJ
New Jersey MEDICAID 7857004 AMERICHOICE OF NJ
New Jersey Other 01000308100 AMERICHOICE OF NJ
New Jersey Other 1850705 AMERICHOICE OF NJ

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