Provider Demographics
NPI:1972621605
Name:RWP ENTERPRISES LLC
Entity type:Organization
Organization Name:RWP ENTERPRISES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:KRUPA
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:908-232-3346
Mailing Address - Street 1:WESTFIELD PODIATRY
Mailing Address - Street 2:440 CHESTNUT STREET
Mailing Address - City:UNION
Mailing Address - State:NJ
Mailing Address - Zip Code:07083-3100
Mailing Address - Country:US
Mailing Address - Phone:908-232-3346
Mailing Address - Fax:908-232-6920
Practice Address - Street 1:440 CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:NJ
Practice Address - Zip Code:07083-3100
Practice Address - Country:US
Practice Address - Phone:908-232-3346
Practice Address - Fax:908-232-6920
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-27
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMD1144213E00000X
NJMD1080213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ2963108Medicaid
T83042Medicare UPIN
NJ2963108Medicaid
NJ6018240001Medicare NSC
T83041Medicare UPIN