Meller, Edward Philip
Meller, Edward Philip is an sole proprietor health care provider with primary practice located at 921 Bergen Ave Suite # 629, Jersey City NJ 07306-4203. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Meller, Edward Philip can be contacted via phone (201) 659-2986.Contact Information
Primary practice address
921 Bergen Ave Suite # 629
Jersey City NJ 07306-4203
Phone: (201) 659-2986
Fax: (201) 217-1226
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | MD002458 | New Jersey |
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | N005344 | New York |
Profile Details
| NPI number | 1972591758 |
|---|---|
| LBN Legal business name | Meller, Edward Philip |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 6th, 2005 |
| Last updated | Jul 9th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972591758 | NPPES |
| New York | Other | 03180 | GHI MEDICARE |
| New York | MEDICAID | 8473005 | GHI MEDICARE |
| New York | Other | 046801 | GHI MEDICARE |
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