Provider Demographics
NPI:1427615947
Name:NORTHPOINT PODIATRY LLC
Entity type:Organization
Organization Name:NORTHPOINT PODIATRY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:F
Authorized Official - Last Name:OZINITSKY
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:732-722-7900
Mailing Address - Street 1:176 ROUTE 9 STE 207
Mailing Address - Street 2:
Mailing Address - City:ENGLISHTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07726-9220
Mailing Address - Country:US
Mailing Address - Phone:732-722-7900
Mailing Address - Fax:732-722-7899
Practice Address - Street 1:176 ROUTE 9 STE 207
Practice Address - Street 2:
Practice Address - City:ENGLISHTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07726-9220
Practice Address - Country:US
Practice Address - Phone:732-722-7900
Practice Address - Fax:732-722-7899
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-20
Last Update Date:2019-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP1100XAmbulatory Health Care FacilitiesClinic/CenterPodiatric
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1245430685Medicaid