MEDICARE: CHRISTAL D CHARBONNET DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0131X	Foot Surgery Podiatrist	006465	NY
2	213ES0131X	Foot Surgery Podiatrist	25MD00317300	NJ

General Provider Information

NPI Number	:	1780811471
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTAL D CHARBONNET DPM

Provider Business Mailing Address
First Line	:	510 HAMBURG TPKE STE 108
Second Line	:
City	:	WAYNE
State	:	NJ
Zip	:	07470-2033
Country	:	US
Telephone Number	:	973-925-4111
Fax Number	:

Provider Business Practice Location Address
First Line	:	510 HAMBURG TPKE STE 108
Second Line	:
City	:	WAYNE
State	:	NJ
Zip	:	07470-2033
Country	:	US
Telephone Number	:	973-925-4111
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/19/2009
Last Update Date	:	03/12/2025

Similar Medicare Providers

1255071254 — NICHOLAS DESAI CRIDER
Practice Location Address:

510 HAMBURG TPKE STE 108
WAYNE, NJ
07470-2033

Practice Phone: 973-925-4111
Practice Fax: 973-925-7711

1194881730 — DR. MARGARET KARCNIK D.O.
Practice Location Address:

510 HAMBURG TPKE , STE 101
WAYNE, NJ
07470-2033

Practice Phone: 973-942-6005
Practice Fax: 973-942-6009

1952446163 — DR. JACLYN J RAMIREZ DPM
Practice Location Address:

510 HAMBURG TPKE STE 108
WAYNE, NJ
07470-2033

Practice Phone: 973-925-4111
Practice Fax: 973-925-7711

1841327384 — MAGDA ERAIBA M.D,
Practice Location Address:

510 HAMBURG TPKE STE 208
WAYNE, NJ
07470-2033

Practice Phone: 973-904-3480
Practice Fax: 973-904-3485

1467589085 — AYMAN ERAIBA MD
Practice Location Address:

510 HAMBURG TPKE STE 208
WAYNE, NJ
07470-2033

Practice Phone: 973-904-3480
Practice Fax: 973-904-3485

1710018007 — JEFFREY THOMAS KNEMOLLER DPM
Practice Location Address:

510 HAMBURG TPKE STE 108
WAYNE, NJ
07470-2033

Practice Phone: 973-925-4111
Practice Fax: 973-925-7711

Directions to “ CHRISTAL D CHARBONNET DPM” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.