Provider Demographics
NPI:1316145006
Name:JENKINS, JOYCE M (DPM)
Entity type:Individual
Prefix:DR
First Name:JOYCE
Middle Name:M
Last Name:JENKINS
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2273 STATE HIGHWAY 33
Mailing Address - Street 2:SUITE 204
Mailing Address - City:HAMILTON SQUARE
Mailing Address - State:NJ
Mailing Address - Zip Code:08690-1747
Mailing Address - Country:US
Mailing Address - Phone:609-587-1674
Mailing Address - Fax:
Practice Address - Street 1:2273 ROUTE 33
Practice Address - Street 2:SUITE 204
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08690-1747
Practice Address - Country:US
Practice Address - Phone:609-587-1674
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-05
Last Update Date:2014-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORDP00431213ES0103X
NJ25MD003318600213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1316145006Medicare NSC