Provider Demographics
NPI:1942209473
Name:NEWMAN, PHILIP STEWART (DPM)
Entity Type:Individual
Prefix:
First Name:PHILIP
Middle Name:STEWART
Last Name:NEWMAN
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 1:201 UNION AVE
Mailing Address - Street 2:BUILDING 1 SUITE C
Mailing Address - City:BRIDGEWATER
Mailing Address - State:NJ
Mailing Address - Zip Code:08807-3002
Mailing Address - Country:US
Mailing Address - Phone:908-231-1114
Mailing Address - Fax:908-252-1930
Practice Address - Street 1:201 UNION AVE
Practice Address - Street 2:BUILDING 1 SUITE C
Practice Address - City:BRIDGEWATER
Practice Address - State:NJ
Practice Address - Zip Code:08807-3002
Practice Address - Country:US
Practice Address - Phone:908-231-1114
Practice Address - Fax:908-252-1930
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-18
Last Update Date:2008-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ01601213E00000X, 213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
No213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
0653680001Medicare NSC
NJ001700Medicare ID - Type Unspecified