IndividualActive
Brandon Macy, DPM
NPI 1720083538 · Primary Podiatric Medicine Podiatrist · Clark, NJ
Provider details
- NPI number
- 1720083538
- Entity type
- Individual
- Primary specialty
- Primary Podiatric Medicine PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- Yes
- License
- 25MD00126200 (NJ)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
1114 Raritan Rd
Clark, NJ 07066-1330
Phone: (732) 382-3470
Fax: (732) 301-8262
Approximate (ZIP-level) locationGet directions
Mailing address
1114 Raritan Rd
Clark, NJ 07066-1330
Registry dates
- Enumerated
- 2005-06-17
- Last updated
- 2011-09-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.