Provider Demographics
NPI:1629254214
Name:SCHAIL C FRANK DPM PA
Entity Type:Organization
Organization Name:SCHAIL C FRANK DPM PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PODIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SCHAIL
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:FRANK
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:201-858-4600
Mailing Address - Street 1:473 BROADWAY STE 203
Mailing Address - Street 2:
Mailing Address - City:BAYONNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07002-3680
Mailing Address - Country:US
Mailing Address - Phone:201-858-4600
Mailing Address - Fax:201-858-3531
Practice Address - Street 1:473 BROADWAY STE 203
Practice Address - Street 2:
Practice Address - City:BAYONNE
Practice Address - State:NJ
Practice Address - Zip Code:07002-3680
Practice Address - Country:US
Practice Address - Phone:201-858-4600
Practice Address - Fax:201-858-3531
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-14
Last Update Date:2008-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MD00104500213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0787720001Medicare NSC