Healthcare Provider Details

I. General information

NPI: 1689668196
Provider Name (Legal Business Name): STEVEN DAVID PLOTKA D.P.M.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/12/2005
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

224 TAYLORS MILLS RD STE 111
MANALAPAN NJ
07726-3281
US

IV. Provider business mailing address

224 TAYLORS MILLS RD STE 111
MANALAPAN NJ
07726-3281
US

V. Phone/Fax

Practice location:
  • Phone: 732-780-7331
  • Fax: 732-972-2156
Mailing address:
  • Phone: 732-780-7331
  • Fax: 732-362-7840

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberN0055321
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberMD002461
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: