Healthcare Provider Details

I. General information

NPI: 1992872998
Provider Name (Legal Business Name): ESSEX UNION PODIATRY LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/29/2006
Last Update Date: 10/23/2025
Certification Date: 10/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 MORRIS AVENUE SUITE 203
SPRINGFIELD NJ
07081-1156
US

IV. Provider business mailing address

500 MORRIS AVENUE SUITE 203
SPRINGFIELD NJ
07081-1156
US

V. Phone/Fax

Practice location:
  • Phone: 972-376-8210
  • Fax: 973-372-1326
Mailing address:
  • Phone: 973-376-8210
  • Fax: 973-372-1326

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number25MD00180400
License Number StateNJ

VIII. Authorized Official

Name: JASON PERRY GALANTE
Title or Position: DPM
Credential:
Phone: 973-376-8210