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ROXBURY FOOT AND ANKLE CENTER PA NPI 1053479527


NPI Information

NPI: 1053479527
Provider Name: ROXBURY FOOT AND ANKLE CENTER, PA
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
66 SUNSET STRIP
SUITE 405
SUCCASUNNA, NJ
ZIP 07876
Phone: (973) 927-2525
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ROXBURY FOOT AND ANKLE CENTER, PA is a foot and ankle surgery podiatrist in Succasunna, NJ. ROXBURY FOOT AND ANKLE CENTER, PA NPI is 1053479527. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

66 SUNSET STRIP
SUITE 405
SUCCASUNNA, NJ
ZIP 07876-345
Phone: (973) 927-2525
Fax: (973) 927-3249

The provider's authorized official is Wayne A Chieppa .
The authorized official title is President and has the following contact phone number (973) 927-2525.

The enumeration date for this NPI number is 12/5/2006 and was last updated on 7/2/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213ES0103XPodiatristFoot & Ankle Surgery25MD00186600NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1470036MEDICARE PINNEW JERSEY
2001393891OTHERPENNSYLVANIAHIGHMARK BLUE SHIELD ID
34526420001MEDICARE NSCNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024
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