Provider Demographics
NPI:1992872998
Name:ESSEX UNION PODIATRY LLP
Entity type:Organization
Organization Name:ESSEX UNION PODIATRY LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER- ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:KAPLAN
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:973-376-8210
Mailing Address - Street 1:500 MORRIS AVENUE
Mailing Address - Street 2:SUITE 203
Mailing Address - City:SPRINGFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07081-1156
Mailing Address - Country:US
Mailing Address - Phone:973-376-8210
Mailing Address - Fax:973-372-1326
Practice Address - Street 1:500 MORRIS AVENUE
Practice Address - Street 2:SUITE 203
Practice Address - City:SPRINGFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07081-1156
Practice Address - Country:US
Practice Address - Phone:972-376-8210
Practice Address - Fax:973-372-1326
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-29
Last Update Date:2018-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MD00180400213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJU02554Medicare UPIN
NJ1109610001Medicare NSC
NJKA538902Medicare ID - Type UnspecifiedKAPLAN MEDICARE