Dr. Jack Testa
Foot Surgery
4808 Bergenline Ave Suite 202
Union City
, New Jersey 07087-5172
Dr. Jack Testa
Foot Surgery
4808 Bergenline Ave Suite 202
Union City
, New Jersey 07087-5172
(201) 863-0727
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About
Features
Specialties
- Foot Surgery
Languages spoken
- English
Location
First Address
- Dr. Jack Testa
- 4808 Bergenline Ave Ste 202
- Union City, NJ
- Zip : 07087-5172
- Fax : (201) 863-0727
- Phone : (201) 863-0036
Second Address
- Dr. Jack Testa
- 4808 Bergenline Ave Suite 202
- Union City, NJ
- Zip : 07087-5172
- Fax : (201) 863-0727
- Phone : (201) 863-0036
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213ES0131X | Foot Surgery | MD00160000 | NJ |
National Provider Identifier
| NPI | 1013985951 |
|---|---|
| Provider Name | Dr. Jack Testa |
| First Address | Union City, NJ 07087-5172 |
| Second Address | Union City, NJ 07087-5172 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/03/2006 |
| Last Update Date | 21/07/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1013076256 | GROUP NPI (01) | NJ |
| 1013985951 | NPI (01) | NJ |
| 3354601 | (05) | NJ |
| 4904303 | (05) | NJ |
| T32043 | (02) | NJ |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.