Provider Demographics
NPI:1134328560
Name:HAL ORNSTEIN ET AL PTR
Entity Type:Organization
Organization Name:HAL ORNSTEIN ET AL PTR
Other - Org Name:AFFILIATED FOOT AND ANKLE CENTER LLP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:HAL
Authorized Official - Middle Name:
Authorized Official - Last Name:ORNSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:732-905-1110
Mailing Address - Street 1:2163 OAK TREE RD
Mailing Address - Street 2:SUITE 107
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08820-1001
Mailing Address - Country:US
Mailing Address - Phone:732-905-1110
Mailing Address - Fax:
Practice Address - Street 1:2163 OAK TREE RD
Practice Address - Street 2:SUITE 107
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08820-1001
Practice Address - Country:US
Practice Address - Phone:732-905-1110
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HAL ORNSTEIN ET AL PTR
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-07-16
Last Update Date:2007-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MD00192800213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6638601Medicaid
NJ6638601Medicaid