Jason Gannon, DPM
Jason Gannon, DPM is a Podiatry in Newark, New Jersey. Graduated from New York College of Podiatric Medicine in 1997, 29 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New Jersey.
- Years since qualifying
- 29
- Trained at
- New York College of Podiatric Medicine
- Licensed in
- NJ
- In the registry since
- 2006
What do these letters mean?
- DPM — Doctor of Podiatric Medicine
- A foot and ankle physician and surgeon.
Practice location Address checks out
111 Mulberry St Ste 1RNewark, NJ 07102-4008
Phone: (973) 818-9104
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Foot Surgery Podiatrist (primary) | Taxonomy 213ES0131X · Licence 25MD00257500 (NJ) |
|---|
Record details
| NPI number | 1619992690 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DPM |
| Sole proprietor | Yes |
| NPI enumerated | July 12, 2006 |
| Last updated in NPPES | December 22, 2010 |
| Mailing address | 131 Safran Ave, Edison, NJ 08837-3205 |
Medicare enrollment
| Medicare specialty | PODIATRY |
|---|---|
| Medical school | NEW YORK COLLEGE OF PODIATRIC MEDICINE |
| Graduated | 1997 (29 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |