Jason Gannon is a Newark, New Jersey based male podiatrist with 27 years of experience in Podiatric Foot Surgery. He completed his graduation from New York College Of Podiatric Medicine in 1997. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Jason Gannon for Podiatric Foot Surgery is 25MD00257500 in New Jersey. Jason Gannon provide comprehensive medical and surgical care for a wide spectrum of foot conditions, including common to complex disorders and injuries that affect people of all ages. He is uniquely qualified to detect the early stages of diseases that exhibit warning signs in the lower extremities, such as diabetes, arthritis and cardiovascular disease, and can manage foot conditions that may pose an ongoing threat to a patient’s overall health.
Complete Profile:
Jason Gannon speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Podiatrist - Foot Surgery
Credentials:
D.P.M.
Experience:
27+ years
Medical School Attended:
New York College Of Podiatric Medicine
Graduation Year:
1997
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
111 Mulberry St, Suite 1r, Newark, New Jersey, 07102-4008
Phone:
973-818-9104
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
0648448860
Enrollment ID:
I20110714000075
NPI Number:
1619992690
NPI Enumeration Date:
12 Jul, 2006
NPI Last Update On:
22 Dec, 2010
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jason Gannon are as mentioned below.
License Number
Specialization
State
Status
25MD00257500
Podiatric Foot Surgery
New Jersey
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Jason Gannon such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
8238502
Medicaid
New Jersey
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
131 Safran Ave, Edison, New Jersey
Zip:
08837-3205
Phone Number:
973-818-9104
Fax Number:
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Patients can reach Jason Gannon at 111 Mulberry St, Suite 1r, Newark, New Jersey or can call to book an appointment on 973-818-9104. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
Comments/ Reviews:
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