MARTIN FRANCIS REALE (NPI# 1427154988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427154988 |
| Entity Type | Individual |
| Full Name | MARTIN FRANCIS REALE |
| Credential | DPM |
| Practice Address |
1335 W Tabor Rd Suite 302 Philadelphia PA 19141-3038 |
| Mailing Address |
32 Driftwood Court Glassboro NJ 08028-2846 |
| Practice Telephone | 8566979090 |
| Mailing Telephone | 8566979090 |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2009-08-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | SC002395L | PA | Podiatric Medicine & Surgery Service Providers |
| Y | 213E00000X | Podiatrist | 25MD00134100 | NJ | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 000849408 | 05 | |
| PA | LICENSE | 185211 | 01 |
| NJ | 1661001 | 05 | |
| PA | LICENSE | SC002395L | 01 |
| Street Address |
1335 W TABOR RD SUITE 302 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19141-3038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255334439 | Richard Rettig | Podiatrist | 1335 W Tabor Rd, Ste 206, Philadelphia, PA 19141-3040 | 2005-05-23 |
| 1487269262 | Pradeep Kumar Sure | Pharmacist | 1335 W Tabor Rd, Philadelphia, PA 19141-3038 | 2020-09-09 |
| 1306244843 | Affordable Dentistry of North Philadelphia | Dentist | 1335 W Tabor Rd, Philadelphia, PA 19141-3038 | 2014-12-16 |
| 1912242827 | Total Health and Rehab Pllc | Chiropractor | 1335 W Tabor Rd, Suite 305, Philadelphia, PA 19141-3038 | 2012-12-04 |
| 1760780175 | Chad Home Health Agency Inc | Home Health | 1335 W Tabor Rd, Suite 210, Philadelphia, PA 19141-3038 | 2011-03-09 |
| 1972838803 | Lady of Fatima Health Services Inc. | Home Health | 1335 W Tabor Rd, Suite 303, Philadelphia, PA 19141-3038 | 2009-10-09 |
| 1689817066 | Chiropractic Trauma & Rehabilitation Center, P.C. | Chiropractor | 1335 W Tabor Rd, Suite 306, Philadelphia, PA 19141-3038 | 2009-04-14 |
| 1881837318 | Gino Zita | Chiropractor | 1335 W Tabor Rd, Suite 306, Philadelphia, PA 19141-3038 | 2009-04-14 |
| 1629217450 | Jonathan Andrew Malucci | Chiropractor | 1335 W Tabor Rd, Suite 304, Philadelphia, PA 19141-3038 | 2009-02-18 |
| 1043455736 | Todd Michael Levine | Chiropractor | 1335 W Tabor Rd, Suite 211, Philadelphia, PA 19141-3038 | 2008-12-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598375925 | Meredith Jeanne Behr | Physician Assistant | 5401 N Broad St, Philadelphia, PA 19141 | 2020-07-31 |
| 1811552896 | Kristine Nissley | Registered Nurse | Einstein Urology Associates, 1200 West Tabor Road, 3rd Floor, Philadelphia, PA 19141 | 2019-05-06 |
| 1427525054 | Danielle Dicicco Havelin | Social Worker | 1314 Windrim Ave, Philadelphia, PA 19141 | 2018-11-01 |
| 1568956043 | Reid Thomas Alley | Psychiatry & Neurology | Albert Einstein Medical Center 5501 Old York Road, Philadelphia, PA 19141 | 2018-06-19 |
| 1912409533 | Lauren Joy Barton | Physician Assistant | 5401 N Broad St Ste 363, Philadelphia, PA 19141 | 2018-02-28 |
| 1952819633 | Einstein Practice Plan, Inc. | Internal Medicine | 5501 Old York Rd Fl Moss3, Philadelphia, PA 19141 | 2018-01-17 |
| 1043739642 | Lauren Lynn Pleis | Nurse Practitioner | 1200 Tabor Road, Philadelphia, PA 19141 | 2017-09-14 |
| 1225558224 | Ryan A. Hoffman | Student in an Organized Health Care Education/Training Program | Albert Einstein Medical Center, 5501 Old York Road, Philadelphia, PA 19141 | 2017-06-21 |
| 1972036515 | Hussein Safa | Family Medicine | 1300 W Tabor Rd Bldg 1, Philadelphia, PA 19141 | 2017-04-11 |
| 1366895500 | Ejaz Mahmood | Student in an Organized Health Care Education/Training Program | 5501, Old York Road, Albert Einstein Medical Centre, Philadelphia, PA 19141 | 2016-07-22 |
| Find all providers in zip 19141 | ||||
| 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 |
|---|---|---|---|---|
| 1912543109 | Kimberly Nguyen Dpm PC | Podiatrist | 1930 S Broad St Ste 19, Philadelphia, PA 19145-2328 | 2019-11-21 |
| 1811476658 | David Khakshoor | Podiatrist | 1703 Borbeck Ave Fl 1, Philadelphia, PA 19111-3514 | 2018-08-13 |
| 1851877179 | Andrew Mermelstein | Podiatrist | 5800 Roxborough Avenue, Philadelphia, PA 19128 | 2018-07-19 |
| 1053835264 | Marvin Marcelin | Podiatrist | 5735 Ridge Ave Ste 208, Philadelphia, PA 19128-1747 | 2017-07-29 |
| 1598287054 | Taylor Wasserleben | Podiatrist | 235 N Broad St Ste 300, Philadelphia, PA 19107-1511 | 2017-07-16 |
| 1952718975 | Travon Owens | Podiatrist | 4522 Westminster Ave, Philadelphia, PA 19131-5213 | 2014-07-22 |
| 1558675801 | Duane Romana | Podiatrist | 1865 Welsh Rd, Apt J-9, Philadelphia, PA 19115-4764 | 2010-07-28 |
| 1144532748 | Kimberly Hoang Nguyen | Podiatrist | 1311 South St, Philadelphia, PA 19147-1867 | 2010-07-12 |
| 1396973152 | Kwasi Y Kwaadu | Podiatrist | 148 N 8th Street, Philadelphia, PA 19107-2496 | 2009-06-30 |
| 1043453996 | Foot Health Centers, Pa | Podiatrist | 6911 Castor Ave, Philadelphia, PA 19149-1702 | 2009-04-08 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19141 |
Please comment or provide details below to improve the information on MARTIN FRANCIS REALE.
| 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.