DR. PETER CRICKELLAS (NPI# 1174672869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174672869 |
| Entity Type | Individual |
| Full Name | DR. PETER CRICKELLAS |
| Credential | DPM |
| Practice Address |
24 Lyons Pl Springfield NJ 07081-1604 |
| Practice Telephone | 9739128095 |
| Practice Fax Number | 9739128095 |
| Mailing Telephone | 9739128095 |
| Mailing Fax Number | 9739128095 |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
NJ | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00919782 | 05 |
| Street Address |
24 LYONS PL |
| City | SPRINGFIELD |
| State | NJ |
| Zip Code | 07081-1604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508408493 | Amrit Justin Jhauj | Chiropractor | 355 Us-22 East, Springfield, NJ 07081 | 2019-10-11 |
| 1760024665 | Paula Kolodynski | Physician Assistant | 355 Us Route 22, Springfield Township, NJ 07081 | 2019-10-11 |
| 1447722061 | Arielle Coutinho | Social Worker | 343 Milltown Rd, Springfield, NJ 07081 | 2018-12-20 |
| 1265948699 | Brighter Dental Care (springfield) | Dentist | 901 Mountain Avenue, Suite Sc-13, Springfield, NJ 07081 | 2017-12-21 |
| 1477080166 | Maira Gomez | Specialist | 1017 Burnet Ave, Union, NJ 07081 | 2017-05-12 |
| 1215472980 | Kara S Jablonka, LLC | Social Worker | 28 Millburn Avenue (suite #7), Springfield, NJ 07081 | 2017-01-04 |
| 1467813188 | Therapyworks LLC | Health Maintenance Organization | 74 Madison Terrace, Springfield, NJ 07081 | 2016-03-08 |
| 1942677893 | Jody Fenelon | Pharmacist | 50 Lawrence Road, Springfield, NJ 07081 | 2015-08-26 |
| 1013336601 | Exceptional Eye Care Group of Springfield L.L.C. | Optometrist | 55-d Route 22 East, Springfield, NJ 07081 | 2014-04-10 |
| 1790116424 | Kara Simon Jablonka | Social Worker | 28 Millburn Ave (suite 7), Springfield, NJ 07081 | 2013-12-05 |
| Find all providers in zip 07081 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497152474 | Ohio Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 2207 Olympic Ave., Springfield, OH 45503-2725 | 2014-11-19 |
| 1194091629 | Foot & Ankle Associates of Central Il LLC | Podiatrist | 1603 West Washington, Springfield, IL 62702-4794 | 2012-03-29 |
| 1174823314 | Community Medical Specialists | Podiatrist | 2207 Olympic Ave, Springfield, OH 45503-2725 | 2010-10-21 |
| 1760697213 | Jason Perry Galante | Podiatrist | 500 Morris Ave Ste 203, Springfield, NJ 07081-1020 | 2007-05-10 |
| 1992872998 | Essex Union Podiatry LLP | Podiatrist | 500 Morris Avenue, Suite 203, Springfield, NJ 07081-1156 | 2006-11-29 |
| 1053491837 | David E Samuel | Podiatrist | 196 W Sproul Rd Ste 107, Springfield, PA 19064-2045 | 2006-10-16 |
| 1285661249 | Stephen J Longobardi | Podiatrist | 100 Morris Ave Ste 304, Springfield, NJ 07081-1423 | 2006-06-27 |
| 1487691747 | Donald Pierre Lemelle | Podiatrist | 415 W Harding Rd, Springfield, OH 45504-1706 | 2006-06-02 |
| 1255306676 | David Plotkin | Podiatrist | 619 Morris Ave, Springfield, NJ 07081-1511 | 2006-02-20 |
| 1710968813 | Philip G. Siebert | Podiatrist | 102 S Grand Ave W, Springfield, IL 62704-3806 | 2005-11-07 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 07081 |
Please comment or provide details below to improve the information on DR. PETER CRICKELLAS.
| 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.