NPI
Advanced Podiatry PA
NPI 1154430411
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2006-08-30
- Last updated
- 2007-12-07
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Specialties
Licenses
- License NJ
- 25MD00257000
- License NY
- N0046131
- License NY
- N006069
- License NJ
- 25MD00196300
Location
- Practice location
- 1308 Morris Avenue, Suite 104
- City
- Union NJ
- Postal code
- 07083-3331
- Phone
- (908) 688-5577
Organization contact
- Name
- Glenn Davison
- Title
- President
- Phone
- (908) 688-5577
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Union, NJ. 1,694 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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