DR. RICHARD T. BRAVER (NPI# 1396712162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396712162 |
Entity Type | Individual |
Full Name | DR. RICHARD T. BRAVER |
Credential | DPM |
Practice Address |
4-14 Saddle River Rd Suite 101 Fair Lawn NJ 07410-5632 |
Practice Telephone | 2017911881 |
Practice Fax Number | 2017916177 |
Mailing Telephone | 2017911881 |
Mailing Fax Number | 2017916177 |
Enumeration Date | 2006-03-01 |
Last Update Date | 2012-12-19 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
25MD00166400 | NJ | Podiatric Medicine & Surgery Service Providers |
Street Address |
4-14 SADDLE RIVER RD SUITE 101 |
City | FAIR LAWN |
State | NJ |
Zip Code | 07410-5632 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558366161 | Gytta Ehrman | Optometrist | 4-14 Saddle River Rd, Suite 202, Fair Lawn, NJ 07410-5632 | 2005-06-20 |
1235678665 | Mobile Vision Group LLC | Optometrist | 4-14 Saddle River Rd, Suite 202, Fair Lawn, NJ 07410-5632 | 2017-02-17 |
1669929303 | Dong Hyun Kim | Optometrist | 4-14 Saddle River Rd, Suite 202, Fair Lawn, NJ 07410-5632 | 2016-09-09 |
1104292747 | Jennine Dorse | Optometrist | 4-14 Saddle River Rd, Fair Lawn, NJ 07410-5632 | 2015-08-18 |
1750646915 | Kyle N Hrymack | Optometrist | 4-14 Saddle River Rd, Fair Lawn, NJ 07410-5632 | 2012-07-12 |
1457616203 | Mary Ann Hodle | Optometrist | 4-14 Saddle River Rd, Suite 202, Fair Lawn, NJ 07410-5632 | 2012-07-09 |
1609067230 | Home Vision Group LLC | Optometrist | 4-14 Saddle River Rd, Suite 202, Fair Lawn, NJ 07410-5632 | 2007-08-08 |
1134288152 | North Jersey Colon & Rectal Surgical Associates Pa | Colon & Rectal Surgery | 4-14 Saddle River Rd, Fair Lawn, NJ 07410-5632 | 2006-12-06 |
1225113723 | Martin N Weiner, Md Pa | Psychiatry & Neurology | 4-14 Saddle River Rd, Suite #203, Fair Lawn, NJ 07410-5632 | 2006-10-25 |
1538243076 | Active Foot & Ankle Care, LLC | Podiatrist | 4-14 Saddle River Rd, Suite 101, Fair Lawn, NJ 07410-5632 | 2006-10-24 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669093316 | Sheila Robinson-kiss LLC | Counselor | 0-178 Tunbridge Road, Fair Lawn, NJ 07410 | 2020-05-05 |
1750902813 | Pine Group LLC | Point of Service | 0-39 Pine Ave, Fair Lawn, NJ 07410 | 2020-04-29 |
1073133153 | Maria Jidriska Myers | Nurse Practitioner | 23-00 Nj-208, Fair Lawn, NJ 07410 | 2020-04-20 |
1508350869 | Jill Marie Deperi | Counselor | 22-08 Route 208 South, Fair Lawn, NJ 07410 | 2018-06-20 |
1952895419 | Laurel Olson | Counselor | Care Plus Nj Children and Family Services, 17-07 Romaine Street, Fair Lawn, NJ 07410 | 2018-06-19 |
1851896583 | Janelle Frazier | Social Worker | Care Plus New Jersey, 17-07 Romaine St, Fair Lawn, NJ 07410 | 2018-03-26 |
1457876260 | Daniella Suric | Behavioral Analyst | 2-08 Morlot Avenue, Fair Lawn, NJ 07410 | 2017-08-14 |
1912453549 | Marcia Gurfield | Social Worker | 33-03 Ryan Road, Fair Lawn, NJ 07410 | 2016-09-01 |
1417330721 | The Arc of Bergen and Passaic Counties, Inc | Day Training, Developmentally Disabled Services | 17-03a Broadway, Fair Lawn, NJ 07410 | 2015-07-06 |
1275914228 | Julius Iratagotia | Occupational Therapist | 0-53 26th St, Fair Lawn, NJ 07410 | 2015-06-16 |
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Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104154475 | Dr. Stern/strauss Podiatric Physicians of New Jersey | Podiatrist | 31 - 00 Broadway, Fair Lawn, NJ 07410 | 2009-11-25 |
1003051285 | Adejoke Abolade Babalola | Podiatrist | 15-01 Pollitt Dr, Ste 8b, Fair Lawn, NJ 07410-2769 | 2008-12-02 |
1215972583 | Antonella Cella | Podiatrist | 19-21 Fair Lawn Ave Ste 2a, Fair Lawn, NJ 07410-2337 | 2006-06-19 |
1710955844 | Thomas Joseph Cusumano | Podiatrist | 26-06 Broadway, Fair Lawn, NJ 07410-3829 | 2006-03-14 |
1972051985 | Dr. Jarret B. Drucker Podiatry PC | Podiatrist | 15-01 Pollitt Dr, Unit 8b, Fair Lawn, NJ 07410-2769 | 2016-09-19 |
1487033700 | Sears Podiatry PC | Podiatrist | 15-01 Pollitt Dr, Ind Ctr-unit 8b, Fair Lawn, NJ 07410-2769 | 2015-05-19 |
1417135732 | Thomas Cusumano | Podiatrist | 26-06 Broadway, Fair Lawn, NJ 07410-3829 | 2008-02-08 |
1538243076 | Active Foot & Ankle Care, LLC | Podiatrist | 4-14 Saddle River Rd, Suite 101, Fair Lawn, NJ 07410-5632 | 2006-10-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396350120 | Lower Limb Institute | Podiatrist | 211 Esses Street, Suite 405, Hackesack, NJ 07601 | 2020-09-09 |
1275162315 | Mercer-ocean Podiatry | Podiatrist | 666 Plainsboro Rd Ste 1050, Plainsboro, NJ 08536-3044 | 2020-04-01 |
1386279552 | Liberty Med Associates LLC | Podiatrist | 1 Bethany Rd Ste 21, Hazlet, NJ 07730-1660 | 2020-03-09 |
1659905685 | New Jersey Podiatric Physicians & Surgeons Group LLC | Podiatrist | 132 Franklin Corner Rd Ste C1, Lawrenceville, NJ 08648-2523 | 2020-02-28 |
1891270609 | Syracuse Medical LLC | Podiatrist | 5 Franklin Ave Ste 103, Belleville, NJ 07109-3521 | 2018-09-27 |
1912481946 | Dr Emad Youssef Podiatry LLC | Podiatrist | 14 W 11th St Fl 1, Bayonne, NJ 07002-2508 | 2018-09-14 |
1932686334 | Kinetic Foot and Ankle, LLC | Podiatrist | 1030 Mcbride Ave Unit 103, Woodland Park, NJ 07424-2535 | 2018-07-27 |
1346730215 | J M Podiatry Associates PC | Podiatrist | 121 Route 31 Ste 700, Flemington, NJ 08822-5754 | 2018-05-15 |
1235629783 | Belvidere Foot & Ankle LLC | Podiatrist | 8 Greenwich St, Belvidere, NJ 07823-1421 | 2018-05-10 |
1093217622 | Active Podiatry LLC | Podiatrist | 7823 Bergenline Ave Fl 2, North Bergen, NJ 07047-4942 | 2018-02-28 |
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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.