MEDICARE: JASON HYMOWITZ

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	213E00000X	Podiatrist	25MD00362800	NJ

General Provider Information

NPI Number	:	1912404237
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JASON HYMOWITZ

Provider Business Mailing Address
First Line	:	196 PATERSON AVE STE 302
Second Line	:
City	:	EAST RUTHERFORD
State	:	NJ
Zip	:	07073-1841
Country	:	US
Telephone Number	:	201-500-9450
Fax Number	:

Provider Business Practice Location Address
First Line	:	196 PATERSON AVE STE 302
Second Line	:
City	:	EAST RUTHERFORD
State	:	NJ
Zip	:	07073-1841
Country	:	US
Telephone Number	:	201-500-9450
Fax Number	:

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

Provider Enumeration Date	:	04/12/2018
Last Update Date	:	10/07/2025

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Directions to “ JASON HYMOWITZ ” Practice Location

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