JAVIER RICARDO PONCE


Address: 654 Mount Prospect Ave Ste 301, Newark, NJ 07104-3110
Phone: 9734827007

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213E00000X Podiatrist 25MD00246800 NJ Podiatric Medicine & Surgery Service Providers

Other Provider Identifier

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

Other Providers JAVIER PONCE

NPI Name Taxonomy Address Enumeration
1336675917 Javier Enrique Ponce Counselor 8400 N University Dr, Suite 201, Tamarac, FL 33321-1752 2017-05-03

Office Location

Street Address 654 MOUNT PROSPECT AVE STE 301
City NEWARK
State NJ
Zip Code 07104-3110

Providers in the same zip code

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 Information

Taxonomy Code 213E00000X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City NEWARK
Zip Code 07104

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Dataset Information

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.

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