Dr. Marc Mitnick, DPM

Individual provider Podiatrist · NPI 1356342992

Dr. Marc Mitnick, DPM is a Podiatry in Summit, New Jersey. Qualified in 1977, 49 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying: 49
Licensed in: NJ
In the registry since: 2005

What do these letters mean?

DPM — Doctor of Podiatric Medicine: A foot and ankle physician and surgeon.

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Practice location Address checks out

360 Springfield Ave
Summit, NJ 07901-4608
Phone: (908) 522-0761
Fax: (908) 926-2111

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary)	Taxonomy 213E00000X · Licence 25MD00109000 (NJ)

Record details

NPI number	1356342992
Entity type	Individual (Type 1)
Gender	Male
Credentials	DPM
Sole proprietor	Yes
NPI enumerated	August 4, 2005
Last updated in NPPES	December 12, 2007
Mailing address	1 Stuart Ct, Pine Brook, NJ 07058-9646

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialty	PODIATRY
Medical school	OTHER
Graduated	1977 (49 years in practice)
Accepts Medicare assignment	Yes — accepts the Medicare-approved amount