# NORTH PLAINFIELD PODIATRY

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619498300
- **Authorized official:** JAVIER PONCE (OWNER)
- **Authorized official phone:** (973) 482-7007

## Contact information

- **Practice address:** 654 MOUNT PROSPECT AVE \# 301, NEWARK, NJ 07104-3110
- **Practice address phone:** (973) 482-7007
- **Mailing address:** 654 MOUNT PROSPECT AVE \# 301, NEWARK, NJ 07104-3110
- **Mailing address phone:** (973) 482-7007
- **Mailing address fax:** (973) 482-9333

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | 25MD00246800 | NJ | Yes |

## Other

- **Enumeration date:** 07/03/2017
- **Last updated:** 05/22/2019