JAVIER RICARDO PONCE (NPI# 1679689764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679689764 |
Entity Type | Individual |
Full Name | JAVIER RICARDO PONCE |
Credential | DPM |
Practice Address |
654 Mount Prospect Ave Ste 301 Newark NJ 07104-3110 |
Practice Telephone | 9734827007 |
Practice Fax Number | 9734829333 |
Mailing Telephone | 9734827007 |
Mailing Fax Number | 9734829333 |
Enumeration Date | 2006-08-22 |
Last Update Date | 2019-05-09 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213E00000X | Podiatrist | 25MD00246800 | NJ | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NJ | HORIZON NJ HEALTH | 1135990 | 01 |
NJ | PALMETTO | 480030704 | 01 |
NJ | OXFORD | P2174641 | 01 |
NJ | 7857004 | 05 | |
NJ | FIRST HEALTH | 1850705 | 01 |
NJ | AMERICHOICE OF NJ | 01000308102 | 01 |
NJ | AMERICHOICE OF NJ | 01000308101 | 01 |
NJ | AMERICHOICE OF NJ | 01000308100 | 01 |
NJ | AMERICHOICE OF NJ | 01000308103 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336675917 | Javier Enrique Ponce | Counselor | 8400 N University Dr, Suite 201, Tamarac, FL 33321-1752 | 2017-05-03 |
Street Address |
654 MOUNT PROSPECT AVE STE 301 |
City | NEWARK |
State | NJ |
Zip Code | 07104-3110 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538790563 | North Ward Medical Arts LLC | Internal Medicine | 485-491 Mt Prospect Ave, Newark, NJ 07104 | 2020-01-29 |
1386149011 | Community Options Enterprises, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 504-506 Mount Prospect Ave, Newark, NJ 07104 | 2018-03-26 |
1710406293 | Bmrr Corporation | Durable Medical Equipment & Medical Supplies | 664 Mt Prospect Ave, Newark, NJ 07104 | 2017-09-15 |
1508390287 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 387 Ridge Street, Newark, NJ 07104 | 2017-04-19 |
1104280890 | North Essex Pediatrics Inc | Clinic/Center | 644 Mt Prospect Ave, Suite1, Newak, NJ 07104 | 2016-04-08 |
1306257076 | Sonia Martinez | Technician/Technologist | 677 Mount Prospect Avenue, Newark, NJ 07104 | 2014-05-15 |
1891022612 | Sofia Berkovich | Internal Medicine | 717-727 Broadway, Newark, NJ 07104 | 2009-11-16 |
1538302138 | Bellazmin Natalie Taylor | Physician Assistant | 354 Doremus Avenue, Newark, NJ 07104 | 2009-04-13 |
1740483502 | Clear Vision Optical, Inc. | Eyewear Supplier (Equipment, not the service) | 677 Mt Prospect Avenue, Newark, NJ 07104 | 2007-06-08 |
1083815146 | Rafael A Hernandez | Pharmacist | 794 Mt. Prospect Ave., Newark, NJ 07104 | 2007-05-29 |
Find all providers in zip 07104 |
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 |
---|---|---|---|---|
1770975898 | Gentle Foot Care, Inc | Podiatrist | 1271 W Main Street, Bldg 1, Newark, OH 43055 | 2015-02-26 |
1114284106 | Jennifer R Seifert | Podiatrist | 4745 Ogletown Stanton Rd Ste 225, Newark, DE 19713-1387 | 2012-04-16 |
1962728675 | Kbf Foot & Ankle Surgeons, Pa | Podiatrist | 254 Walnut St, Newark, NJ 07105-1717 | 2010-04-20 |
1710165170 | Foot & Ankle Specialists Of | Podiatrist | 1950 Tamarack Rd, Newark, OH 43055-1363 | 2008-02-07 |
1902937568 | John Zatourian | Podiatrist | 389 Sanford Ave, Newark, NJ 07106-1149 | 2007-03-08 |
1750420899 | Carrie Z. O'neill | Podiatrist | 165 W Shore Blvd, Newark, NY 14513-1259 | 2007-02-05 |
1710057468 | James C Totten | Podiatrist | 40 Ferry Street, Newark, NJ 07105 | 2006-11-09 |
1568557890 | William Scott Newcomb | Podiatrist | 4051 Ogletown Rd Ste 102, Newark, DE 19713-3101 | 2006-10-03 |
1689617961 | Anthony H Mascioli | Podiatrist | 918 N Main St, Newark, NY 14513-1030 | 2006-06-14 |
1669420659 | Stephen Rhein Pittman | Podiatrist | 410 Christiana Medical Center, Newark, DE 19702 | 2006-05-04 |
Find all providers in NEWARK |
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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.