Provider Demographics
NPI:1720248438
Name:GARBER, JAIME (DPM)
Entity Type:Individual
Prefix:DR
First Name:JAIME
Middle Name:
Last Name:GARBER
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
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Mailing Address - Street 1:115 FRANKLIN TPKE STE 291
Mailing Address - Street 2:
Mailing Address - City:MAHWAH
Mailing Address - State:NJ
Mailing Address - Zip Code:07430-1325
Mailing Address - Country:US
Mailing Address - Phone:845-637-2778
Mailing Address - Fax:949-543-2010
Practice Address - Street 1:411 STATE ROUTE 17M
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:NY
Practice Address - Zip Code:10950-4123
Practice Address - Country:US
Practice Address - Phone:845-507-0477
Practice Address - Fax:201-252-8389
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-16
Last Update Date:2023-10-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MD00295800213ES0103X
NYN006286-1213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA400004420OtherMEDICARE