| Organization Name: | NEW JERSEY PODIATRIC PHYSICIANS AND SURGEONS GROUP, LLC |
| NPI Number: | 1063840056 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | HAL ORNSTEIN (PRESIDENT) |
| Mailing Address: | 255 Route 3 Suite 202 Secaucus |
| State: | NJ US |
| Postal Code: | 070943857 |
| Phone Number: | 2018637460 |
| Fax Number: | 2018637525 |
| NPI Enumeration Date: | 10/29/2013 |
| NPI Last Update Date: | 10/29/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |