HEALTHDRIVE PODIATRY GROUP, PC (NPI# 1013106533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013106533 |
| Entity Type | Organization |
| Organization Name | HEALTHDRIVE PODIATRY GROUP, PC |
| Other Organization Name | HEALTHDRIVE PODIATRY GROUP |
| Practice Address |
103 Carnegie Ctr Suite 300 Princeton NJ 08540-6235 |
| Mailing Address |
100 Crossing Blvd Suite 500 Framingham MA 01702-5555 |
| Practice Telephone | 8889646681 |
| Practice Fax Number | 8886620859 |
| Mailing Telephone | 6179646681 |
| Mailing Fax Number | 3396862561 |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2019-12-31 |
| Authorized Official Name | DR. SHADI ADIB ABBOUD (TREASUER/PRACTICE DIRECTOR) |
| Authorized Official Telephone | 8572550486 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | Y |
| Parent Organization Name | HEALTHDRIVE PODIATRY GROUP, PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 7065400 | 05 | |
| NJ | MEDICARE RAILROAD | DN8723 | 01 |
| Other Name | Type Code |
|---|---|
| HealthDrive Podiatry Group | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083268866 | Healthdrive Podiatry Group, PC | Durable Medical Equipment & Medical Supplies | 12940 Harriet Ave S Ste 230, Burnsville, MN 55337-2794 | 2019-07-30 |
| 1689613598 | Healthdrive Podiatry Group, PC | Prosthetic/Orthotic Supplier | 100 Crossing Blvd, Suite 300, Framingham, MA 01702-5555 | 2006-06-06 |
| 1558915330 | Healthdrive Podiatry Group, PC | Durable Medical Equipment & Medical Supplies | 7600 France Ave S Ste 1100, Edina, MN 55435-5936 | 2019-07-30 |
| 1689228470 | Healthdrive Podiatry Group, PC | Durable Medical Equipment & Medical Supplies | 3883 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2518 | 2019-07-30 |
| 1548685258 | Healthdrive Podiatry Group, PC | Podiatrist | 6700 Alexander Bell Dr, Suite 200, Columbia, MD 21046-2122 | 2014-03-04 |
| 1326220674 | Healthdrive Podiatry Group, PC | Prosthetic/Orthotic Supplier | 12 Penns Trail, Suite 154, Newtown, PA 18940-3438 | 2007-11-28 |
| 1831388354 | Healthdrive Podiatry Group, PC | Podiatrist | 100 Crossing Blvd, Suite 300, Framingham, MA 01702-5555 | 2007-10-22 |
| 1851580377 | Healthdrive Podiatry Group, PC | Podiatrist | 100 Crossing Blvd, Suite 300, Framingham, MA 01702-5555 | 2007-10-22 |
| 1134310188 | Healthdrive Podiatry Group, PC | Prosthetic/Orthotic Supplier | 101 Centerpoint Dr Ste 215, Middletown, CT 06457-7568 | 2007-08-06 |
| 1326251026 | Healthdrive Podiatry Group, PC | Podiatrist | 115 Broadway, Dobbs Ferry, NY 10522-2835 | 2007-05-08 |
| Street Address |
103 CARNEGIE CTR SUITE 300 |
| City | PRINCETON |
| State | NJ |
| Zip Code | 08540-6235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275519829 | Gary David Salkind | Family Medicine | 103 Carnegie Ctr, Suite 103, Princeton, NJ 08540-6235 | 2005-12-15 |
| 1639614696 | Constance Osusky | Dental Hygienist | 103 Carnegie Ctr, Suite 300, Princeton, NJ 08540-6235 | 2016-12-30 |
| 1659794873 | Barbara J. Korzun, Psy.d. LLC | Clinic/Center | 103 Carnegie Ctr, Suite 300, Princeton, NJ 08540-6235 | 2014-01-23 |
| 1679762199 | Jeffrey L. Morer, Od, PC | Optometrist | 103 Carnegie Ctr, Suite 300, Princeton, NJ 08540-6235 | 2007-10-22 |
| 1760671283 | Alec H. Jaret, Dmd, PC | Dentist | 103 Carnegie Ctr, Suite 300, Princeton, NJ 08540-6235 | 2007-10-22 |
| 1922297449 | Mobile Audiology Associates, P.C. | Audiologist | 103 Carnegie Ctr, Suite 300, Princeton, NJ 08540-6235 | 2007-10-22 |
| 1033229695 | Lingraphicare America, Inc | Durable Medical Equipment & Medical Supplies | 103 Carnegie Ctr, Suite 104, Princeton, NJ 08540-6235 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003420613 | Samantha Beatriz Manzano | Pharmacist | 301 N Harrison Street, Princeton, NJ 08540 | 2020-09-01 |
| 1306485768 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 414 Freedom Blvd, Princeton, NJ 08540 | 2020-01-03 |
| 1124667589 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 415 Freedom Blvd, Princeton, NJ 08540 | 2020-01-03 |
| 1215576673 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 416 Freedom Blvd, Princeton, NJ 08540 | 2020-01-03 |
| 1508405929 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 411 Freedom Blvd, Princeton, NJ 08540 | 2020-01-02 |
| 1992369698 | Suzanne Haggerty | Social Worker | 716 Executive Drive, Princeton, NJ 08540 | 2019-04-28 |
| 1700349552 | Pdp Associates LLC | Social Worker | 3490 Us Highway 1, Building 16 Suite 112, Princeton, NJ 08540 | 2019-04-09 |
| 1245722438 | Kyle Bonner | Social Worker | 166 Bunn Dr Ste 105, Princeton, NJ 08540 | 2018-06-04 |
| 1942700125 | Lifetouch Behavioral Health, LLC | Community/Behavioral Health | 112 Commons Way, Building 1, Suite 112, Princeton, NJ 08540 | 2018-02-14 |
| 1912407271 | Princeton Psychiatry & Consulting, LLC | Psychiatry & Neurology | 601 Ewing St, Suite C-10, Princeton, NJ 08540 | 2018-02-13 |
| Find all providers in zip 08540 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033205950 | Joseph G Wolfe | Podiatrist | 1808 Sherman Dr Suite 2206, Princeton, IN 47670-1043 | 2006-10-05 |
| 1578672416 | Richard John Loesch | Podiatrist | 418 1/2 N Main St, Princeton, IN 47670-1516 | 2006-08-30 |
| 1669433231 | Douglas Stewart Dockery | Podiatrist | 401 Rogers St, Princeton, WV 24740-3636 | 2006-03-31 |
| 1821388539 | Sachin Patel | Podiatrist | 11 N Harrison St, Princeton, NJ 08540-3502 | 2011-04-14 |
| 1407173982 | Marshal T Gwynn | Podiatrist | 401 Rogers St, Princeton, WV 24740-3636 | 2010-04-23 |
| 1659527935 | Deaconess Clinic Inc. | Podiatrist | 685 Vail Street, Princeton, IN 47670-9510 | 2008-08-18 |
| 1053580696 | Mark T Wilt | Podiatrist | 401 Rogers St, Princeton, WV 24740-3636 | 2008-02-28 |
| 1528256187 | Princeton Foot and Ankle Associates | Podiatrist | 11 N Harrison St, Princeton, NJ 08540-3502 | 2007-10-09 |
| 1194911651 | Princeton Orthopaedic Associates II | Podiatrist | 325 Princeton Ave, Princeton, NJ 08540-1617 | 2007-09-19 |
| 1386695245 | Robert Knox | Podiatrist | 401 Rogers St, Princeton, WV 24740-3636 | 2006-05-15 |
| Find all providers in PRINCETON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.