Healthcare Provider Details

I. General information

NPI: 1114413416
Provider Name (Legal Business Name): CHRISTOPHER OFELDT DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2018
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 ROUTE 71 STE 2A
SPRING LAKE NJ
07762-3223
US

IV. Provider business mailing address

2159 ROUTE 88 E
BRICK NJ
08724-3232
US

V. Phone/Fax

Practice location:
  • Phone: 732-992-3668
  • Fax:
Mailing address:
  • Phone: 732-899-0015
  • Fax: 732-899-0061

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberSC006956
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number25MD00351400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: