Provider Demographics
NPI:1922178292
Name:SCHUSTER, LARRY --- (DPM)
Entity Type:Individual
Prefix:DR
First Name:LARRY
Middle Name:---
Last Name:SCHUSTER
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 1:255 BALDWIN RD
Mailing Address - Street 2:
Mailing Address - City:PARSIPPANY
Mailing Address - State:NJ
Mailing Address - Zip Code:07054-2007
Mailing Address - Country:US
Mailing Address - Phone:973-334-3338
Mailing Address - Fax:973-334-2134
Practice Address - Street 1:255 BALDWIN RD
Practice Address - Street 2:
Practice Address - City:PARSIPPANY
Practice Address - State:NJ
Practice Address - Zip Code:07054-2007
Practice Address - Country:US
Practice Address - Phone:973-334-3338
Practice Address - Fax:973-334-2134
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-08
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJNJ 01027213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0949701Medicaid
NJ0949701Medicaid
NJT44624Medicare UPIN