Provider Demographics
NPI:1548581069
Name:GLOBAL PODIATRY OF NJ PC
Entity Type:Organization
Organization Name:GLOBAL PODIATRY OF NJ PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SERGEY
Authorized Official - Middle Name:A
Authorized Official - Last Name:LOSYEV
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:732-890-3668
Mailing Address - Street 1:198 ROUTE 9 STE 100
Mailing Address - Street 2:
Mailing Address - City:MANALAPAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07726-3073
Mailing Address - Country:US
Mailing Address - Phone:732-890-3668
Mailing Address - Fax:732-595-9095
Practice Address - Street 1:198 ROUTE 9 STE 100
Practice Address - Street 2:
Practice Address - City:MANALAPAN
Practice Address - State:NJ
Practice Address - Zip Code:07726-3073
Practice Address - Country:US
Practice Address - Phone:732-890-3668
Practice Address - Fax:732-595-9095
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-18
Last Update Date:2022-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty