Provider Demographics
NPI:1316916299
Name:HYMAN, HOWARD I (DPM)
Entity type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:I
Last Name:HYMAN
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 1:90 MILLBURN AVE
Mailing Address - Street 2:SUITE 203
Mailing Address - City:MILLBURN
Mailing Address - State:NJ
Mailing Address - Zip Code:07041-1945
Mailing Address - Country:US
Mailing Address - Phone:973-762-9294
Mailing Address - Fax:973-762-9262
Practice Address - Street 1:90 MILLBURN AVE
Practice Address - Street 2:SUITE 203
Practice Address - City:MILLBURN
Practice Address - State:NJ
Practice Address - Zip Code:07041-1945
Practice Address - Country:US
Practice Address - Phone:973-762-9294
Practice Address - Fax:973-762-9262
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2010-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MD00117400213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1428209Medicaid
NJES238OtherOXFORD
NJ1K2620OtherHEALTHNET
NJ1247200001Medicare NSC
NJ451812NMPMedicare PIN
NJES238OtherOXFORD