Healthcare Provider Details

I. General information

NPI: 1982085387
Provider Name (Legal Business Name): DR. JAY R. NEWMAN, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2015
Last Update Date: 06/11/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6080 BOYNTON BEACH BLVD STE 100
BOYNTON BEACH FL
33437-3588
US

IV. Provider business mailing address

15340 JOG RD STE 205
DELRAY BEACH FL
33446-2170
US

V. Phone/Fax

Practice location:
  • Phone: 561-638-7600
  • Fax:
Mailing address:
  • Phone: 561-638-7600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number State

VIII. Authorized Official

Name: JAY R NEWMAN
Title or Position: OWNER
Credential: DPM
Phone: 561-638-7600