MEDICARE: MR. GARY D ORINGER DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist	N03425	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	NY7646	OTHER		HEALTHNET
2	P786677	OTHER		OXFORD

General Provider Information

NPI Number	:	1790868115
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. GARY D ORINGER DPM

Provider Business Mailing Address
First Line	:	2416 NW 63RD ST
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33496-3626
Country	:	US
Telephone Number	:	917-476-2914
Fax Number	:	561-367-3504

Provider Business Practice Location Address
First Line	:	2416 NW 63RD ST
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33496-3626
Country	:	US
Telephone Number	:	917-476-2914
Fax Number	:	561-367-3504

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/21/2006
Last Update Date	:	11/02/2020

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