Provider Demographics
NPI:1124269501
Name:SAKA, JOSEPH S (DPM)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:S
Last Name:SAKA
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4645 US HIGHWAY 9
Mailing Address - Street 2:
Mailing Address - City:HOWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07731-3324
Mailing Address - Country:US
Mailing Address - Phone:732-905-1110
Mailing Address - Fax:732-905-9885
Practice Address - Street 1:4645 US HIGHWAY 9
Practice Address - Street 2:
Practice Address - City:HOWELL
Practice Address - State:NJ
Practice Address - Zip Code:07731-3324
Practice Address - Country:US
Practice Address - Phone:732-905-1110
Practice Address - Fax:732-905-9885
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-16
Last Update Date:2016-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC006179213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1024777340001Medicaid
PA185243ZEEYMedicare PIN