| Kenneth Donovan Dpm Llc | |
| 
					9 Mount Bethel Rd, Suite 209, Warren, NJ 07059-5603  | |
| (908) 605-0799 | |
| (908) 450-1558 | 
| Full Name | Kenneth Donovan Dpm Llc | 
|---|---|
| Type | Facility | 
| Speciality | Podiatrist - Foot & Ankle Surgery | 
| Location | 9 Mount Bethel Rd, Warren, New Jersey | 
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1417229493 | NPI | - | NPPES | 
| 0951412 | Medicaid | NJ | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 25MD00302600 (New Jersey) | Primary | 
| Provider Name | Leonid Schreer | 
|---|---|
| Provider Type | Practitioner - Podiatry | 
| Provider Identifiers | NPI Number: 1275856924 PECOS PAC ID: 4082742655 Enrollment ID: I20100503000750  | 
| Provider Name | Kenneth James Donovan | 
|---|---|
| Provider Type | Practitioner - Podiatry | 
| Provider Identifiers | NPI Number: 1588804132 PECOS PAC ID: 6305038118 Enrollment ID: I20101012001158  | 
| Provider Name | Jayson K Choi | 
|---|---|
| Provider Type | Practitioner - Podiatry | 
| Provider Identifiers | NPI Number: 1962857250 PECOS PAC ID: 9335575265 Enrollment ID: I20200212001121  | 
| Provider Name | Brittany Marie-noelle Ciaramello | 
|---|---|
| Provider Type | Practitioner - Podiatry | 
| Provider Identifiers | NPI Number: 1104288141 PECOS PAC ID: 3577857176 Enrollment ID: I20220426001050  | 
| Provider Name | Norman Li | 
|---|---|
| Provider Type | Practitioner - Podiatry | 
| Provider Identifiers | NPI Number: 1225614878 PECOS PAC ID: 9638514888 Enrollment ID: I20240228001356  | 
| Provider Name | Amanda Gallagher | 
|---|---|
| Provider Type | Practitioner - Podiatry | 
| Provider Identifiers | NPI Number: 1255078713 PECOS PAC ID: 8325566789 Enrollment ID: I20250519003436  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Kenneth Donovan Dpm Llc 9 Mount Bethel Rd, Suite 209, Warren, NJ 07059-5603 Ph: (908) 605-0799  | Kenneth Donovan Dpm Llc 9 Mount Bethel Rd, Suite 209, Warren, NJ 07059-5603 Ph: (908) 605-0799  | 
Dr. Rita Liebson, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 6 Hill Hollow Rd, Warren, NJ 07059 Phone: 908-787-6607  | |
New Jersey Podiatric Physicians & Surgeons Group, Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 266 King George Rd Ste D, Warren, NJ 07059 Phone: 732-662-3050 Fax: 732-662-3049  | |
Total Care Foot And Ankle Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 9 Mount Bethel Rd Ste 209, Warren, NJ 07059 Phone: 908-605-0799 Fax: 908-450-1558  | |
Dr. Kenneth James Donovan, D.P.M Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 9 Mount Bethel Rd, Suite 9, Warren, NJ 07059 Phone: 908-605-0799 Fax: 908-450-1558  |