Provider Demographics
NPI:1316125032
Name:HOWARD J TZORFAS DPM
Entity type:Organization
Organization Name:HOWARD J TZORFAS DPM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:J
Authorized Official - Last Name:TZORFAS
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:908-236-6999
Mailing Address - Street 1:PO BOX 555
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:NJ
Mailing Address - Zip Code:08833-0555
Mailing Address - Country:US
Mailing Address - Phone:908-236-6999
Mailing Address - Fax:908-236-0694
Practice Address - Street 1:1386 ROUTE 22 WEST
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:NJ
Practice Address - Zip Code:08833
Practice Address - Country:US
Practice Address - Phone:908-236-6999
Practice Address - Fax:908-236-0694
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-05
Last Update Date:2009-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMD001732213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ2015307Medicaid
NJT77744Medicare UPIN
NJTZ576573Medicare PIN
NJ2015307Medicaid
NJ1050640001Medicare NSC