WESTSIDE PODIATRIC ASSOCIATES LLC NPI 1306116900

NPI Information

  • NPI: 1306116900
  • Provider Name: WESTSIDE PODIATRIC ASSOCIATES LLC
  • Classification: Podiatrist - 213ES0131X
  • Specialization: Foot Surgery
  • Entity Type: Organization
  • Doing Business As: DR. DAVID P. LUONGO
  • CLIA Number: 33D0866446
  • Address: 10 MCKINLEY ST STE 15
    CLOSTER, NJ
    ZIP 07624
  • Phone: (201) 784-1900

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NPI Details

WESTSIDE PODIATRIC ASSOCIATES LLC is a foot surgery podiatrist in Closter, NJ. WESTSIDE PODIATRIC ASSOCIATES LLC NPI is 1306116900. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Dr. David P. Luongo.

The provider's business location address is:

10 MCKINLEY ST STE 15
CLOSTER, NJ
ZIP 07624-726
Phone: (201) 784-1900
Fax: (201) 784-8785

The provider's authorized official is David P Luongo .
The authorized official title is Owner and has the following contact phone number (201) 491-2173.

The CLIA number assigned to this NPI record is 33D0866446 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/12/2012 and was last updated on 8/31/2023.

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
1213ES0131XPodiatristFoot SurgeryN005487-1NEW YORKNo
2213ES0131XPodiatristFoot SurgeryMD00251700NEW JERSEYYes

What is NPI?

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This page was last updated on: 11/21/2025

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