| NPI | 1174884779 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2012-05-31 |
| Last Updated | 2023-09-19 |
| Mailing Address | 2 Worlds Fair Dr Somerset, NJ 08873-1369 United States Phone: (732) 537-0909 | Fax: (732) 564-9032 📍 View Map |
| Primary Practice Address | 44810 Belmar Blvd, 1st Floor Wall Township, NJ 07753-0775 United States Phone: (732) 938-6090 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 207XX0801X – Orthopaedic Surgery, Orthopaedic Trauma | NJ | 25MA10357500 |
| Yes | 207X00000X – Orthopaedic Surgery | NJ | 25MA10357500 |
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About NPI 1174884779
Sergei A Pushilin M.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1174884779. The primary specialty listed is Orthopaedic Surgery. The provider is located in Wall Township, NJ. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2012-05-31. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1174884779?
NPI 1174884779 belongs to Sergei A Pushilin M.D., a Orthopaedic Surgery in Wall Township, NJ. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1174884779 active?
The current status of NPI 1174884779 in the NPPES registry is Active. The record was last updated on 2023-09-19.
What specialty is NPI 1174884779?
NPI 1174884779 is classified under the taxonomy Orthopaedic Surgery. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1174884779?
You can verify NPI 1174884779 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1174884779?
The primary practice address on file for NPI 1174884779 is 44810 Belmar Blvd, 1st Floor, Wall Township, NJ 07753-0775. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1174884779 issued?
NPI 1174884779 was first issued (enumerated) on 2012-05-31. The NPPES record was last updated on 2023-09-19.
Practice Location Map
Sergei A Pushilin is located at 44810 Belmar Blvd, 1st Floor, Wall Township, NJ. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Sergei A Pushilin. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1174884779. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Orthopaedic Surgery, Orthopaedic Trauma | 25MA10357500 | NJ |
| Orthopaedic Surgery | 25MA10357500 | NJ |