Provider Demographics
NPI:1902946015
Name:WELLS, STEVEN SHARRIEFF (DPM)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:SHARRIEFF
Last Name:WELLS
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 1:100 HORIZON CENTER BLVD
Mailing Address - Street 2:
Mailing Address - City:ROBBINSVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08691-1910
Mailing Address - Country:US
Mailing Address - Phone:844-777-8700
Mailing Address - Fax:917-791-9755
Practice Address - Street 1:2045 STATE ROUTE 35 STE 200
Practice Address - Street 2:
Practice Address - City:SOUTH AMBOY
Practice Address - State:NJ
Practice Address - Zip Code:08879-2069
Practice Address - Country:US
Practice Address - Phone:929-207-4669
Practice Address - Fax:917-791-9755
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-07
Last Update Date:2025-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X, 171100000X
NJN005481-01213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01925626Medicaid
NYPA9651Medicare ID - Type Unspecified
NY01925626Medicaid