Provider Demographics
NPI:1215030473
Name:CAREY, MARTIN JOSEPH (DPM)
Entity Type:Individual
Prefix:DR
First Name:MARTIN
Middle Name:JOSEPH
Last Name:CAREY
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2089 N ROUTE 9
Mailing Address - Street 2:
Mailing Address - City:CAPE MAY COURT HOUSE
Mailing Address - State:NJ
Mailing Address - Zip Code:08210-1163
Mailing Address - Country:US
Mailing Address - Phone:609-624-0123
Mailing Address - Fax:609-624-0034
Practice Address - Street 1:2089 N ROUTE 9
Practice Address - Street 2:
Practice Address - City:CAPE MAY COURT HOUSE
Practice Address - State:NJ
Practice Address - Zip Code:08210-1163
Practice Address - Country:US
Practice Address - Phone:609-624-0123
Practice Address - Fax:609-624-0034
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-06
Last Update Date:2018-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC004456L213ES0103X
NJ25MD00256800213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8256101Medicaid
U78754Medicare UPIN
4884130001Medicare NSC
NJ8256101Medicaid
P00216929Medicare ID - Type UnspecifiedRAILROAD MEDICARE