Healthcare Provider Details

I. General information

NPI: 1205196359
Provider Name (Legal Business Name): AMARI M. WHITE D.P.M.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/23/2012
Last Update Date: 07/03/2026
Certification Date: 07/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 NEWARK AVE STE 303
JERSEY CITY NJ
07306-1348
US

IV. Provider business mailing address

550 NEWARK AVE STE 303
JERSEY CITY NJ
07306-1348
US

V. Phone/Fax

Practice location:
  • Phone: 201-586-0008
  • Fax: 201-820-0088
Mailing address:
  • Phone: 201-586-0008
  • Fax: 201-820-0088

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number25MD00328100
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: