KENNETH DONOVAN DPM LLC (NPI# 1417229493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417229493 |
| Entity Type | Organization |
| Organization Name | KENNETH DONOVAN DPM LLC |
| Other Organization Name | ADVANCED CARE FOOT AND ANKLE |
| Practice Address |
9 Mount Bethel Rd Suite 209 Warren NJ 07059-5603 |
| Practice Telephone | 9086050799 |
| Practice Fax Number | 9084501558 |
| Mailing Telephone | 9086050799 |
| Mailing Fax Number | 9084501558 |
| Enumeration Date | 2012-02-06 |
| Last Update Date | 2016-07-31 |
| Authorized Official Name | DR. KENNETH JAMES DONOVAN (OWNER) |
| Authorized Official Telephone | 9086050799 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
25MD00302600 | NJ | Podiatric Medicine & Surgery Service Providers |
| Other Name | Type Code |
|---|---|
| Advanced Care Foot and Ankle | Doing Business As Name - Organization |
| Street Address |
9 MOUNT BETHEL RD SUITE 209 |
| City | WARREN |
| State | NJ |
| Zip Code | 07059-5603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588804132 | Kenneth James Donovan | Podiatrist | 9 Mount Bethel Rd, Suite 9, Warren, NJ 07059-5603 | 2009-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245680826 | Brightview Warren, LLC | Alzheimer Center (Dementia Center) | 55 Mt. Bethel Road, Warren, NJ 07059 | 2016-06-15 |
| 1245617786 | Mt Bethel Day Program LLC | Clinic/Center | 67 Mountain Blvd, Suite 201, Warren, NJ 07059 | 2015-05-05 |
| 1831509413 | Chandana Pande | Internal Medicine | 34 Moutain Blvd, Warren, NJ 07059 | 2014-05-05 |
| 1740624121 | Prakhar Mehrotra | Dentist | 58 Mount Bethel Rd Ste 202, Warren, NJ 07059 | 2013-04-29 |
| 1558680231 | International Healthcare of Nj | Specialist | 3 Tiffanys Way, Warren, NJ 07059 | 2010-05-20 |
| 1740430495 | Danielle Lynnette Neumann | Physical Therapist | 247 King George Rd, Warren, NJ 07059 | 2008-09-30 |
| 1831358381 | Linda Zhang | Ophthalmology | 65 Mountain Blvd. Ext, Ste. 105, Warren, NJ 07059 | 2008-06-09 |
| 1356515597 | Tiffany Lynn Scott | Pediatrics | 76 Stirling Rd., Suite 201, Warren, NJ 07059 | 2008-04-18 |
| 1710011283 | Vincent Frederick Colon | Psychiatry & Neurology | 161 Washington Valley Road, Suite #206, Warren, NJ 07059 | 2007-03-15 |
| 1972666089 | Kwei Ping Shen Kwei | Dentist | 108 Mt Bethel Rd, Warren, NJ 07059 | 2006-12-19 |
| Find all providers in zip 07059 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134501885 | Jamie L Matteo Dpm, Inc | Podiatrist | 628 Niles Cortland Road Se Suite 103, Warren, OH 44484-2473 | 2015-06-18 |
| 1962841544 | Siraj Panchbhaiya | Podiatrist | 11900 E 12 Mile Rd Ste 102, Warren, MI 48093-3487 | 2013-06-18 |
| 1194061002 | Advanced Podiatry Ankle & Footcare Centers Inc | Podiatrist | 4441 Mahoning Ave Nw Ste A, Warren, OH 44483-1976 | 2012-12-20 |
| 1336389519 | Cara Christine Dunbar Kalogerou | Podiatrist | 628 Niles Cortland Rd Se Ste 103, Warren, OH 44484-2473 | 2009-02-27 |
| 1588804132 | Kenneth James Donovan | Podiatrist | 9 Mount Bethel Rd, Suite 9, Warren, NJ 07059-5603 | 2009-02-23 |
| 1437124492 | A Caring Podiatrist Inc | Podiatrist | 2900 Elm Road Ne, Warren, OH 44483 | 2006-02-22 |
| 1194703157 | Diana G Karnavas | Podiatrist | 4441 Mahoning Ave Nw, Suite A, Warren, OH 44483-1932 | 2006-01-09 |
| 1982606414 | Charles Gregory Kissel | Podiatrist | 29433 Ryan Rd, Warren, MI 48092-2203 | 2005-08-15 |
| 1073008371 | Firras Garada | Podiatrist | 21230 Dequindre Rd, Warren, MI 48091-2279 | 2018-06-28 |
| 1326531377 | Giulia Consulting Pllc | Podiatrist | 4050 E 12 Mile Rd, Warren, MI 48092-2534 | 2018-06-13 |
| Find all providers in WARREN | ||||
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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.