Provider Demographics
NPI:1306821509
Name:FILIPEK, RICHARD E (DPM)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:E
Last Name:FILIPEK
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 1:486 VAN BUSSUM AVE
Mailing Address - Street 2:
Mailing Address - City:GARFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07026-2060
Mailing Address - Country:US
Mailing Address - Phone:973-546-1200
Mailing Address - Fax:973-546-1819
Practice Address - Street 1:486 VAN BUSSUM AVE
Practice Address - Street 2:
Practice Address - City:GARFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07026-2060
Practice Address - Country:US
Practice Address - Phone:973-546-1200
Practice Address - Fax:973-546-1819
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-09
Last Update Date:2009-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MD00204300213E00000X, 213EP1101X, 213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
No213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJU20476Medicare UPIN
NJ685465Medicare PIN
NJ0951050001Medicare NSC