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CENTER FOR ADVANCED FOOT & ANKLE CARE NPI 1144262718


NPI Information

NPI: 1144262718
Provider Name: CENTER FOR ADVANCED FOOT & ANKLE CARE
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
1195 RT 70
UNIT 12
LAKEWOOD, NJ
ZIP 08701
Phone: (732) 240-9223
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CENTER FOR ADVANCED FOOT & ANKLE CARE is a podiatrist in Lakewood, NJ. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. CENTER FOR ADVANCED FOOT & ANKLE CARE NPI is 1144262718. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1195 RT 70
UNIT 12
LAKEWOOD, NJ
ZIP 08701
Phone: (732) 240-9223
Fax: (732) 370-9222

The provider's authorized official is Sean Robert Stoddard .
The authorized official title is Owner and has the following contact phone number (732) 580-0566.

The enumeration date for this NPI number is 6/11/2006 and was last updated on 6/25/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213ES0103XPodiatristFoot & Ankle SurgeryNo
2213E00000XPodiatrist25MD00268500NEW 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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10099236MEDICAIDNEW JERSEY
2DD6147MEDICARE PINNEW JERSEY
35396900001MEDICARE NSCNEW JERSEY
4T95618MEDICARE UPINNEW JERSEY
5088101MEDICARE PINNEW 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: 4/28/2024

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