Provider Demographics
NPI:1538330956
Name:JAMES C NEVEROSKI DPM
Entity type:Organization
Organization Name:JAMES C NEVEROSKI DPM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:C
Authorized Official - Last Name:NEVEROSKI
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:732-349-3366
Mailing Address - Street 1:3 PLAZA DR
Mailing Address - Street 2:STE1B
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08757-3759
Mailing Address - Country:US
Mailing Address - Phone:732-349-3366
Mailing Address - Fax:
Practice Address - Street 1:3 PLAZA DR
Practice Address - Street 2:SUITE 1B
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08757-3764
Practice Address - Country:US
Practice Address - Phone:732-349-3366
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-13
Last Update Date:2008-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ4068870001Medicare NSC