| Debenedictis & Testa, Dpm, Pa | |
| 
					4808 Bergenline Ave, Suite 202, Union City, NJ 07087-5162  | |
| (201) 863-0036 | |
| (201) 863-0727 | 
| Full Name | Debenedictis & Testa, Dpm, Pa | 
|---|---|
| Type | Facility | 
| Speciality | Podiatrist - Foot Surgery | 
| Location | 4808 Bergenline Ave, Union City, 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 | 
|---|---|---|---|
| 1013076256 | NPI | - | NPPES | 
| 3354601 | Medicaid | NJ | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 213ES0131X | Podiatrist - Foot Surgery | 213ES0131X (New Jersey) | Primary | 
| Provider Name | Margaret Portela | 
|---|---|
| Provider Type | Practitioner - Podiatry | 
| Provider Identifiers | NPI Number: 1104894054 PECOS PAC ID: 8224014592 Enrollment ID: I20040628000279  | 
| Provider Name | Thomas H Debenedictis | 
|---|---|
| Provider Type | Practitioner - Podiatry | 
| Provider Identifiers | NPI Number: 1194792366 PECOS PAC ID: 2163504077 Enrollment ID: I20111208000507  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Debenedictis & Testa, Dpm, Pa 4808 Bergenline Ave, Suite 202, Union City, NJ 07087-5172 Ph: (201) 863-0036  | Debenedictis & Testa, Dpm, Pa 4808 Bergenline Ave, Suite 202, Union City, NJ 07087-5162 Ph: (201) 863-0036  | 
Dr. Jack Testa, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 4808 Bergenline Ave, Suite 202, Union City, NJ 07087 Phone: 201-863-0036 Fax: 201-863-0727  | |
Dr. Margaret Portela, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 4808 Bergenline Ave, Suite 202, Union City, NJ 07087 Phone: 201-863-0036 Fax: 201-863-0727  | |
Dr. Thomas Henry Debenedictis, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 4808 Bergenline Ave, Suite 202, Union City, NJ 07087 Phone: 201-863-0036 Fax: 201-863-0727  | |
Jonathan Purisima Dpm, Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 1005 New York Ave, Union City, NJ 07087 Phone: 201-394-1703  | |
Bergenline Foot Care Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 4500 Bergenline Ave, Union City, NJ 07087 Phone: 201-283-6849  | |
Raymond Maimone Dpm Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 415 39th St, Union City, NJ 07087 Phone: 201-863-2593 Fax: 201-941-3903  |