Roselle Podiatry Group, Pa

LBN: Roselle Podiatry Group, Pa
Roselle Podiatry Group, Pa is an health care organization with primary practice located at 776 E 3Rd Ave , Roselle NJ 07203-1698. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as the primary health care specialty. Roselle Podiatry Group, Pa can be contacted via phone (908) 620-3200, or through Shim, Yeon via phone (908) 620-3200.

Contact Information

Primary practice address
776 E 3Rd Ave Roselle NJ 07203-1698
Phone: (908) 620-3200
Fax: (908) 620-1040
Website:
Map and Directions
Authorized official contact:
Name: Shim, Yeon Doctor of Podiatric Medicine (DPM)
Phone: (908) 620-3200

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X MD002426 New Jersey

Profile Details

NPI number 1003139031
LBN Legal business name Roselle Podiatry Group, Pa
DBA Doing business as
Authorized official Shim, Yeon Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 4th, 2010
Last updated Oct 16th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003139031 NPPES
New Jersey Other 4702770001 MEDICARE DME

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