Provider Demographics
NPI:1891785598
Name:SCHIOWITZ, IRA (DPM)
Entity Type:Individual
Prefix:
First Name:IRA
Middle Name:
Last Name:SCHIOWITZ
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2024 MACOPIN RD
Mailing Address - Street 2:SUITEA
Mailing Address - City:WEST MILFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07480-1900
Mailing Address - Country:US
Mailing Address - Phone:973-728-3591
Mailing Address - Fax:973-728-7548
Practice Address - Street 1:2024 MACOPIN RD
Practice Address - Street 2:SUITEA
Practice Address - City:WEST MILFORD
Practice Address - State:NJ
Practice Address - Zip Code:07480-1900
Practice Address - Country:US
Practice Address - Phone:973-728-3591
Practice Address - Fax:973-728-7548
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-24
Last Update Date:2009-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ01197213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ477881Medicare PIN
NJT45597Medicare UPIN
NJ0939530001Medicare NSC