Organization
DR JAY R NEWMAN PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY R NEWMAN DPM (CEO)
(561) 638-7600
Entity
Organization
Contact information
Practice address
15340 JOG RD, STE 205, DELRAY BEACH, FL 33446-2170
(561) 638-7600
(561) 638-6787
Mailing address
15340 JOG ROAD, SUITE 205, DELRAY BEACH, FL 33446-0000
(561) 638-7600
(561) 638-6787
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
PO2131
FL
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
PO 2131
FL
213ER0200X
Radiology Podiatrist
PO 2131
FL
213ES0131X
Foot Surgery Podiatrist
PO 2131
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340387400
—
FL
01
—
34882
BCBS OF FL GRP #
FL
01
—
481117394
TRIWEST
—
Enumeration date
03/07/2007
Last updated
01/22/2015
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