Healthcare Provider Details

I. General information

NPI: 1285637025
Provider Name (Legal Business Name): VINCENT FRANCIS GIACALONE DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/24/2005
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

680 KINDERKAMACK RD STE 301
ORADELL NJ
07649-1600
US

IV. Provider business mailing address

466 OLD HOOK RD STE 24D
EMERSON NJ
07630-1368
US

V. Phone/Fax

Practice location:
  • Phone: 551-557-3409
  • Fax: 551-557-2105
Mailing address:
  • Phone: 201-261-0500
  • Fax: 201-261-7905

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number25MD00192300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: