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General NPI Number Information
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NPI Number | 1407718000
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Entity Type | Organization
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Legal Business Name | JONATHAN ROY PODIATRY PC
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Dates
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Enumeration Date | 12/02/2025
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 54 PARKWAY
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City | ROCHELLE PARK
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State | NJ
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Zip | 07662-4204
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Country | US
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Telephone | 718-532-6679
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Fax | 877-540-0077
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Provider Business Mailing Address
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Address Line | 54 PARKWAY
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City | ROCHELLE PARK
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State | NJ
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Zip | 07662-4204
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Country | US
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Telephone | 718-532-6679
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Fax | 877-540-0077
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Authorized Official
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Title or Position | PODIATRIST
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Name | DR. JONATHAN R ROY
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Credential | DPM
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Telephone | 718-532-6679
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State |
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