Provider Demographics
NPI:1700931573
Name:NEVEROSKI, JAMES C (DPM)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:C
Last Name:NEVEROSKI
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
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Mailing Address - Street 1:3 PLAZA DR
Mailing Address - Street 2:STE 18
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08757-3765
Mailing Address - Country:US
Mailing Address - Phone:732-349-3366
Mailing Address - Fax:732-349-8437
Practice Address - Street 1:3 PLAZA DR
Practice Address - Street 2:STE 18
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08757-3765
Practice Address - Country:US
Practice Address - Phone:732-349-3366
Practice Address - Fax:732-349-8437
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-24
Last Update Date:2008-11-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ1406213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
4068870001Medicare NSC
NJ148339Medicare ID - Type Unspecified
NJT44780Medicare UPIN