Provider Demographics
NPI:1245409259
Name:MARTIN J CAREY DPM PC
Entity Type:Organization
Organization Name:MARTIN J CAREY DPM PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:J
Authorized Official - Last Name:CAREY
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:609-624-0123
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-23
Last Update Date:2018-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8256101Medicaid
NJ035729Medicare PIN
NJ8256101Medicaid
NJU78754Medicare UPIN