DR. ROY ROBERT HENDERSON (NPI# 1063527968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063527968 |
| Entity Type | Individual |
| Full Name | DR. ROY ROBERT HENDERSON |
| Credential | DPM |
| Practice Address |
60 West Union Ave Bound Brook NJ 08805-1716 |
| Practice Telephone | 7324693668 |
| Practice Fax Number | 7324693650 |
| Mailing Telephone | 7324693668 |
| Mailing Fax Number | 7324693650 |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2010-03-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 25MD00176300 | NJ | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | HEALTH NET | F08076 | 01 |
| NJ | OXFORD | P384246 | 01 |
| NJ | 1838709 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730102484 | Roy Edward Henderson | Marriage & Family Therapist | 7844 Madison Avenue, Suite 105, Fair Oaks, CA 95628-3595 | 2006-07-25 |
| 1053547521 | Roy Victor Henderson | Social Worker | 570 E Waterloo Rd, Akron, OH 44319-1223 | 2009-06-10 |
| 1861426694 | Roy Henderson | Family Medicine | 14535a Hazel Dell Pkwy, Carmel, IN 46033-9401 | 2006-07-10 |
| Street Address |
60 WEST UNION AVE |
| City | BOUND BROOK |
| State | NJ |
| Zip Code | 08805-1716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386141901 | Ngozi Asiegbulem | Licensed Practical Nurse | 411 C Lamonte Ave, Bound Brook, NJ 08805 | 2018-04-10 |
| 1083148670 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 933 West Meadow Drive, Bound Brook, NJ 08805 | 2017-04-20 |
| 1376930453 | Capitol Care Inc. | Day Training, Developmentally Disabled Services | 2121 Route 22 West, Bound Brook, NJ 08805 | 2015-04-16 |
| 1821343328 | Bound Brook Rescue Squad, Inc. | Ambulance | 56 Van Keuren Ave, Bound Brook, NJ 08805 | 2012-07-20 |
| 1144575739 | Jersey Irish Medical | Clinic/Center | 601 W. Union Ave., Bound Brook, NJ 08805 | 2012-07-19 |
| 1932228194 | American Institute for Counseling Inc | Clinic/Center | 1952 Route 22 East, Bound Brook, NJ 08805 | 2007-03-28 |
| 1699827253 | Renee T Foster | Chiropractor | 207 West Union Avenue, Bound Brook, NJ 08805 | 2007-01-16 |
| 1407911597 | Elizabeth Wong | Pediatrics | 55 W Union Ave, Bound Brook, NJ 08805 | 2006-12-27 |
| 1609949239 | Kevin Michael Enright | Counselor | 305 East High Street, Suite 5, Bound Brook, NJ 08805 | 2006-11-15 |
| 1457434904 | Jack Baharlias | Psychologist | 1952 Rt 22 E, American Institute for Counseling Inc, Bound Brook, NJ 08805 | 2006-10-20 |
| Find all providers in zip 08805 | ||||
| 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 |
|---|---|---|---|---|
| 1720689102 | Foot and Soul | Podiatrist | 1 W State St, Trenton, NJ 08608-1205 | 2020-11-03 |
| 1407461387 | Quality Foot and Ankle Center | Podiatrist | 87 Bruswick Wood Dr, East Brunswick, NJ 08816-5601 | 2020-09-09 |
| 1992323844 | Ventnor Wellness | Podiatrist | 6601 Ventnor Ave # Troy12, Ventnor City, NJ 08406-2167 | 2020-07-08 |
| 1891310967 | Kathryn Stoedter Dpm LLC | Podiatrist | 69 Haddonfield Berlin Rd, Cherry Hill, NJ 08034-3572 | 2020-06-14 |
| 1316560576 | Quality Foot Care Center LLC | Podiatrist | 25 Clyde Rd Ste 101, Somerset, NJ 08873-5038 | 2020-05-22 |
| 1942834973 | Foot & Ankle Center of Sj | Podiatrist | 408 Chris Gaupp Dr Ste 300, Galloway, NJ 08205 | 2020-02-28 |
| 1902437643 | Harsh Patel Dpm Pa | Podiatrist | 4991 Route 42 Ste 8a, Turnersville, NJ 08012-1750 | 2020-01-31 |
| 1619508355 | Harsh Patel Dpm Pa | Podiatrist | 1529 Route 206 Ste L-1, Tabernacle, NJ 08088-8801 | 2020-01-31 |
| 1154980944 | New Jersey Podiatric Physicians & Surgeons Group LLC | Podiatrist | 2477 Hwy 516 Ste 101, Old Bridge, NJ 08857-4603 | 2019-06-06 |
| 1972068575 | Kathryn Stoedter, Dpm, LLC | Podiatrist | 2301 E Evesham Rd Ste 508, Voorhees, NJ 08043-4506 | 2019-02-07 |
| Find all providers with the same taxonomy | ||||
| City | BOUND BROOK |
| Zip Code | 08805 |
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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.