PALISADES PARK PODIATRY PC NPI 1255953022

NPI Information

  • NPI: 1255953022
  • Provider Name: PALISADES PARK PODIATRY PC
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Organization
  • Doing Business As: CHOICE PODIATRY OF NJ
  • Address: 2225 LEMOINE AVE FL 1
    FORT LEE, NJ
    ZIP 07024
  • Phone: (347) 997-0485

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NPI Details

PALISADES PARK PODIATRY PC is a foot and ankle surgery podiatrist in Fort Lee, NJ. PALISADES PARK PODIATRY PC NPI is 1255953022. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Choice Podiatry Of Nj.

The provider's business location address is:

2225 LEMOINE AVE FL 1
FORT LEE, NJ
ZIP 07024-104
Phone: (347) 997-0485
Fax: (718) 599-3366

The provider's authorized official is Jong Won Choi .
The authorized official title is Dpm/owner and has the following contact phone number (347) 997-0485.

The enumeration date for this NPI number is 5/14/2020 and was last updated on 1/7/2021.

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 SurgeryYes

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
125MD00350800MEDICAIDNEW 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: 11/21/2025

NPI Synchronization or Removal

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