Provider Demographics
NPI:1417931742
Name:CHENG, ANGELA K (DPM)
Entity Type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:K
Last Name:CHENG
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 KNICKERBOCKER RD
Mailing Address - Street 2:
Mailing Address - City:CRESSKILL
Mailing Address - State:NJ
Mailing Address - Zip Code:07626-1323
Mailing Address - Country:US
Mailing Address - Phone:201-546-8222
Mailing Address - Fax:201-228-1689
Practice Address - Street 1:310 KNICKERBOCKER RD
Practice Address - Street 2:
Practice Address - City:CRESSKILL
Practice Address - State:NJ
Practice Address - Zip Code:07626-1323
Practice Address - Country:US
Practice Address - Phone:201-546-8222
Practice Address - Fax:201-228-1689
Is Sole Proprietor?:No
Enumeration Date:2005-11-30
Last Update Date:2014-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN006065-1213E00000X
NJ25MD00285600213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist