DR. ANDREW S BLACK (NPI# 1073552105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073552105 |
| Entity Type | Individual |
| Full Name | DR. ANDREW S BLACK |
| Credential | DPM, PA |
| Practice Address |
303 N Main St Woodstown NJ 08098-1308 |
| Mailing Address |
571 Saint Josephs Blvd Fl 2 Elmira NY 14901-3230 |
| Practice Telephone | 8567699400 |
| Practice Fax Number | 8567698291 |
| Mailing Telephone | 6072712050 |
| Mailing Fax Number | 6072712099 |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2020-06-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 006707 | NY | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
MD01530 | NJ | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | TAX ID | 222694446 | 01 |
| NJ | MEDICARE PTAN | 423060 | 01 |
| NJ | 1531603 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790011724 | Andrew P Black | Physician Assistant | 6438 Wilmington Pike Ste 110, Dayton, OH 45459-7021 | 2009-10-27 |
| 1548408669 | Andrew P Black | Podiatrist | 1050 Sw 3rd Ave Ste 400, Ontario, OR 97914-2197 | 2009-01-27 |
| 1457480659 | Andrew Steven Black | Chiropractor | 64 Fulton St, Ground Floor Office, New York, NY 10038-1854 | 2007-03-05 |
| 1659318020 | Andrew James Black | Internal Medicine | 2215 Burdett Ave., Hmp of Samaritan, Troy, NY 12180-2466 | 2006-06-02 |
| 1851392351 | Andrew William Black | Internal Medicine | 1125 N Porter Ave Ste 301, Norman, OK 73071-6443 | 2005-08-09 |
| 1346726999 | Andrew Black | Nurse Practitioner | 5041 Victor Dr Ste C, Medina, OH 44256-6028 | 2018-07-17 |
| 1740787241 | Andrew Black | Student in an Organized Health Care Education/Training Program | 1740 W Taylor St, Chicago, IL 60612-7232 | 2018-04-11 |
| 1306204193 | Andrew Black | Counselor | 17640 Ne Halsey St, Portland, OR 97230-6733 | 2016-02-08 |
| 1245620137 | Andrew Black IIi | Physical Therapist | 1725 Laskin Rd, Virginia Beach, VA 23454 | 2015-01-29 |
| 1063838720 | Andrew Allen Black | Massage Therapist | 14511 Westlake Dr Ste 100, Lake Oswego, OR 97035-7727 | 2014-03-05 |
| Street Address |
303 N MAIN ST |
| City | WOODSTOWN |
| State | NJ |
| Zip Code | 08098-1308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588811277 | Jolie Hamilton Shimp Master | Podiatrist | 303 N Main St, Woodstown, NJ 08098-1308 | 2008-08-25 |
| 1689738221 | Margaret L. Hurley, Do, LLC | Family Medicine | 303 N Main St, Woodstown, NJ 08098-1308 | 2006-12-20 |
| 1659392413 | Margaret L Hurley | Family Medicine | 303 N Main St, Woodstown, NJ 08098-1308 | 2006-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871141309 | Sidra Batool Kazmi | Pharmacist | 865 Nj-45, Pilesgrove, NJ 08098 | 2019-08-28 |
| 1679072631 | Advancing Opportunities, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 21 Woodstown-alloway Rd., Apt. 105, Woodstown, NJ 08098 | 2018-02-06 |
| 1265989180 | Sarah V. Jones | Registered Nurse | 435 Swedesboro Road, Pilesgrove, NJ 08098 | 2016-09-08 |
| 1265894646 | Advoserv of New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1356 Kings Hwy, Pilesgrove, NJ 08098 | 2016-03-24 |
| 1801279534 | Bancroft | Clinic/Center | 6 Commissioner's Pike, Woodstown, NJ 08098 | 2015-06-30 |
| 1144494600 | John Richard Castiglioni | Emergency Medicine | 50 Forsythia Lane, Pilesgrove, NJ 08098 | 2008-04-16 |
| 1437268190 | Lisa Gambino | Dentist | 4 West Maple St, Woodstown, NJ 08098 | 2006-08-29 |
| 1902852999 | Acme Markets Inc | Durable Medical Equipment & Medical Supplies | 857 Route 45, Pilesgrove, NJ 08098 | 2006-05-25 |
| 1306375696 | Kelly Boskey | Physical Therapist | 84 E Grant St, Ste 3, Woodstown, NJ 08098 | 2017-06-08 |
| 1902016470 | Andrew S.black Dpm Pa | Podiatrist | 303 North Main Street, Woodstown, NJ 08098 | 2007-05-23 |
| Find all providers in zip 08098 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588811277 | Jolie Hamilton Shimp Master | Podiatrist | 303 N Main St, Woodstown, NJ 08098-1308 | 2008-08-25 |
| 1902016470 | Andrew S.black Dpm Pa | Podiatrist | 303 North Main Street, Woodstown, NJ 08098 | 2007-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689102 | Foot and Soul | Podiatrist | 1 W State St, Trenton, NJ 08608-1205 | 2020-11-03 |
| 1407461387 | Quality Foot and Ankle Center | Podiatrist | 87 Bruswick Wood Dr, East Brunswick, NJ 08816-5601 | 2020-09-09 |
| 1992323844 | Ventnor Wellness | Podiatrist | 6601 Ventnor Ave # Troy12, Ventnor City, NJ 08406-2167 | 2020-07-08 |
| 1891310967 | Kathryn Stoedter Dpm LLC | Podiatrist | 69 Haddonfield Berlin Rd, Cherry Hill, NJ 08034-3572 | 2020-06-14 |
| 1316560576 | Quality Foot Care Center LLC | Podiatrist | 25 Clyde Rd Ste 101, Somerset, NJ 08873-5038 | 2020-05-22 |
| 1942834973 | Foot & Ankle Center of Sj | Podiatrist | 408 Chris Gaupp Dr Ste 300, Galloway, NJ 08205 | 2020-02-28 |
| 1902437643 | Harsh Patel Dpm Pa | Podiatrist | 4991 Route 42 Ste 8a, Turnersville, NJ 08012-1750 | 2020-01-31 |
| 1619508355 | Harsh Patel Dpm Pa | Podiatrist | 1529 Route 206 Ste L-1, Tabernacle, NJ 08088-8801 | 2020-01-31 |
| 1154980944 | New Jersey Podiatric Physicians & Surgeons Group LLC | Podiatrist | 2477 Hwy 516 Ste 101, Old Bridge, NJ 08857-4603 | 2019-06-06 |
| 1972068575 | Kathryn Stoedter, Dpm, LLC | Podiatrist | 2301 E Evesham Rd Ste 508, Voorhees, NJ 08043-4506 | 2019-02-07 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.