Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 230677-1 | NY |
N | 207X00000X | Orthopaedic Surgeon | 25MA07243300 | NJ |
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 203677-1 | NY |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 25MA07243300 | NJ |
NPI | 1003913807 |
---|---|
Provider Name | Jason E Fond |
First Address | Nanuet, NY 10954-5288 |
Second Address | Nanuet, NY 10954-5288 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2006 |
Last Update Date | 06/06/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200041872 | RAILROAD MEDICARE (01) | NY |
2635499 | USHC-HMO (01) | NY |
35151 | GHI-MEDICARE (01) | NY |
403F21 | EMPIRE BC/BS (01) | NY |
4C5309 | PHS-HEALTHNET (01) | NY |
7881295 | AETNA-PPO/POS (01) | NY |
8796768 | CIGNA (01) | NY |
9625142 | GHI-FLEX SELECT (01) | NY |
H35597 | (02) | NY |
P2523530 | OXFORD (01) | NY |