DR. MARC DAVID BRUCKNER (NPI# 1902881527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902881527 |
| Entity Type | Individual |
| Full Name | DR. MARC DAVID BRUCKNER |
| Credential | DPM |
| Practice Address |
13 Birch Tree Ln Pob 358 Livingston NJ 07039-0358 |
| Mailing Address |
Po Box 358 Livingston NJ 07039-0358 |
| Practice Telephone | 9735356505 |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2011-06-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 25MD00230000 | NJ | Podiatric Medicine & Surgery Service Providers |
| Street Address |
13 BIRCH TREE LN POB 358 |
| City | LIVINGSTON |
| State | NJ |
| Zip Code | 07039-0358 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770184111 | Dentistry With A Smile, Inc. | Durable Medical Equipment & Medical Supplies | 1100 Town Center Way, 14-a-ii, Livingston, NJ 07039 | 2020-11-03 |
| 1326692104 | Amy Beth Lipsey | Social Worker | Amy Lipsey, 301 South Livingston Avenue, Livingston, NJ 07039 | 2019-07-30 |
| 1427543412 | Bodypro Physical Therapy, LLC | Physical Therapist | 5 Country Club Ct, Livingston, NJ 07039 | 2018-06-22 |
| 1538665245 | Kushal Shukla | Student in an Organized Health Care Education/Training Program | 20 Canoe Brook Dr, Livingston, NJ 07039 | 2018-04-02 |
| 1629594643 | Northeast Pulmonary and Sleep Medical LLC | Specialist | 506 Regent Street, Suite A, Livingston, NJ 07039 | 2017-08-22 |
| 1184154098 | Snf Old Short Hills Operating Company, LLC | Skilled Nursing Facility | 348 East Cedar Street, Livingston, NJ 07039 | 2017-06-13 |
| 1093254690 | Suzanne M Verbesky Dpm LLC | Clinic/Center | 44 West Mcclellan Avenue, Livingston, NJ 07039 | 2017-02-15 |
| 1649723743 | Essex County Weightloss, LLC | Internal Medicine | 5 Regent St Ste 509, Livingston, NJ 07039 | 2016-07-26 |
| 1912352824 | Grant Arzumanov | Student in an Organized Health Care Education/Training Program | 94 Old Short Hills Rd., Livingston, NJ 07039 | 2016-04-28 |
| 1891158671 | Journey's Eve Counseling LLC | Counselor | 2 Northfield Rd, 210a, Livingston, NJ 07039 | 2016-03-30 |
| Find all providers in zip 07039 | ||||
| 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 |
|---|---|---|---|---|
| 1619267192 | Stephen G. Eichelsdorfer, Dpm, Pa | Podiatrist | 400 Bypass Ln Ste 110, Livingston, TX 77351-7380 | 2011-04-18 |
| 1326244518 | Anna Samolkin | Podiatrist | 12 Countryside Dr, Livingston, NJ 07039-2002 | 2007-06-25 |
| 1700928538 | Karyn Lisa Goldberg | Podiatrist | 22 Old Short Hills Rd Ste 100, Livingston, NJ 07039-5604 | 2007-02-12 |
| 1588691430 | John P Fritz | Podiatrist | 114 W Mount Pleasant Ave, Livingston, NJ 07039-2932 | 2006-06-27 |
| 1669087748 | Dynamic Foot & Ankle | Podiatrist | 315 E Northfield Rd, Livingston, NJ 07039-4896 | 2020-09-15 |
| 1326540923 | Goldberg Podiatry Center LLC | Podiatrist | 22 Old Short Hills Rd, Livingston, NJ 07039-5604 | 2018-02-28 |
| 1952755936 | Dayana Jennifer Sawh | Podiatrist | 94 Old Short Hills Rd, Livingston, NJ 07039-5672 | 2016-04-15 |
| 1265610620 | Stephen G. Eichelsdorfer, Dpm, Pa | Podiatrist | 400 Bypass Ln Ste 110, Livingston, TX 77351-7380 | 2008-02-07 |
| 1003024563 | Foot Care of Livingston PC | Podiatrist | 349 E Northfield Rd, Lower Level 6, Livingston, NJ 07039-4802 | 2007-05-18 |
| 1912911710 | Kbf Foot and Ankle Surgeons Pa | Podiatrist | 114 W Mount Pleasant Ave, Livingston, NJ 07039-2932 | 2006-07-28 |
| Find all providers in LIVINGSTON | ||||
| City | LIVINGSTON |
| Zip Code | 07039 |
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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.