Provider Demographics
NPI:1275719973
Name:CHARLES KAPLAN
Entity Type:Organization
Organization Name:CHARLES KAPLAN
Other - Org Name:LODI FAMILY FOOT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PODIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:D
Authorized Official - Last Name:KAPLAN
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:973-365-1000
Mailing Address - Street 1:105 UNION ST
Mailing Address - Street 2:
Mailing Address - City:LODI
Mailing Address - State:NJ
Mailing Address - Zip Code:07644-3226
Mailing Address - Country:US
Mailing Address - Phone:973-365-1000
Mailing Address - Fax:973-458-8121
Practice Address - Street 1:105 UNION ST
Practice Address - Street 2:
Practice Address - City:LODI
Practice Address - State:NJ
Practice Address - Zip Code:07644-3226
Practice Address - Country:US
Practice Address - Phone:973-365-1000
Practice Address - Fax:973-458-8121
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-14
Last Update Date:2013-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ4394420001Medicare NSC