Provider Demographics
NPI:1124205745
Name:DARREN JAMES DPM
Entity Type:Organization
Organization Name:DARREN JAMES DPM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DARREN
Authorized Official - Middle Name:JERRY
Authorized Official - Last Name:JAMES
Authorized Official - Suffix:SR
Authorized Official - Credentials:DPM
Authorized Official - Phone:732-670-0535
Mailing Address - Street 1:3 JULIA LN
Mailing Address - Street 2:
Mailing Address - City:HAZLET
Mailing Address - State:NJ
Mailing Address - Zip Code:07730-4004
Mailing Address - Country:US
Mailing Address - Phone:732-670-5392
Mailing Address - Fax:732-203-0535
Practice Address - Street 1:3 JULIA LN
Practice Address - Street 2:
Practice Address - City:HAZLET
Practice Address - State:NJ
Practice Address - Zip Code:07730-4004
Practice Address - Country:US
Practice Address - Phone:732-670-5392
Practice Address - Fax:732-203-0535
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-25
Last Update Date:2013-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ5883580001332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ5883580001Medicare NSC