DR. GARY J. FADEN (NPI# 1295745263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295745263 |
| Entity Type | Individual |
| Full Name | DR. GARY J. FADEN |
| Credential | DPM |
| Practice Address |
216 Jack Martin Blvd Suite D-4 Brick NJ 08724-7771 |
| Practice Telephone | 7324588383 |
| Practice Fax Number | 7324588965 |
| Mailing Telephone | 7324588383 |
| Mailing Fax Number | 7324588965 |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2007-11-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 25MD00114700 | NJ | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | UNIFORMED SERVICES | 205671 | 01 |
| NJ | TAX ID# | 222332380 | 01 |
| NJ | 3011402 | 05 | |
| NJ | OXFORD | P404738 | 01 |
| Street Address |
216 JACK MARTIN BLVD SUITE D-4 |
| City | BRICK |
| State | NJ |
| Zip Code | 08724-7771 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821271776 | Gary J Faden Dpm | Podiatrist | 216 Jack Martin Blvd, Suite D4, Brick, NJ 08724-7771 | 2007-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386498 | Mark Malak | Pharmacist | 668 New Jersey Ave # 70, Brick, NJ 08724 | 2020-11-08 |
| 1699381681 | Kimberly Granai | Nurse Practitioner | 1617 Nj-88, Brick Township, NJ 08724 | 2020-09-16 |
| 1407461346 | Marina N Samuel | Pharmacist | 1890 Rt 88, Brick, NJ 08724 | 2020-09-08 |
| 1255974440 | Diana Rachel Williamson | Pharmacy Technician | 1610 Rt. 88 West, Suite 103, Brick, NJ 08724 | 2019-10-21 |
| 1710536842 | Stephanie Ann Papa | Nurse Practitioner | 2125 Nj 88, Brick, NJ 08724 | 2019-09-11 |
| 1417504515 | Susan B Anthony | Physical Therapist | 676 Overlook Ct, Brick, NJ 08724 | 2019-08-22 |
| 1831688076 | Jennifer S Cashin | Social Worker | 1500 Nj-88, Brick, NJ 08724 | 2018-05-03 |
| 1528555315 | James Kish Pt | Physical Therapist | 602 Yellowbrick Rd, Brick, NJ 08724 | 2018-04-17 |
| 1396262200 | Michael Stephen Zito-govert | Nurse Practitioner | 1640 Route 88 West, Suite 203, Brick, NJ 08724 | 2017-08-23 |
| 1083140420 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1200 Route 70 East, Brick, NJ 08724 | 2017-05-04 |
| Find all providers in zip 08724 | ||||
| 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 |
|---|---|---|---|---|
| 1750777116 | Jocelyn Guillen | Podiatrist | 2159 Route 88 E, Brick, NJ 08724 | 2015-04-13 |
| 1508928979 | Associates In Foot and Ankle | Podiatrist | 2211 Route 88 East, Brick, NJ 08724-3229 | 2006-12-14 |
| 1508830142 | Allen J Atheras | Podiatrist | 2211 Route 88 E, Brick, NJ 08724-3229 | 2006-02-13 |
| 1710957733 | Bassem M Demian | Podiatrist | 292 Herbertsville Rd, Brick, NJ 08724-1734 | 2006-01-23 |
| 1033103700 | Jeffrey Bruce Finkel | Podiatrist | 35 Beaverson Blvd, Suite 4 A, Brick, NJ 08723-7812 | 2005-09-08 |
| 1386643500 | Maureen B Jennings | Podiatrist | 1451 Route 88, Suite 8a, Brick, NJ 08724-2371 | 2005-07-19 |
| 1487659124 | Stanley J. Szaniawski | Podiatrist | 125 Drum Point Rd, Brick, NJ 08723-6221 | 2005-06-18 |
| 1295265346 | Maybelle Maningat | Podiatrist | 2159 Route 88 E, Brick, NJ 08724-3232 | 2017-06-12 |
| 1821271776 | Gary J Faden Dpm | Podiatrist | 216 Jack Martin Blvd, Suite D4, Brick, NJ 08724-7771 | 2007-12-14 |
| 1083779870 | Bassem M.demian,dpm | Podiatrist | 292 Herbertsville Rd, Brick, NJ 08724-1734 | 2006-12-22 |
| Find all providers in BRICK | ||||
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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.