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FOOT AND ANKLE CENTER OF NJ & NY LLC NPI 1356123293


NPI Information

NPI: 1356123293
Provider Name: FOOT AND ANKLE CENTER OF NJ & NY LLC
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
2225 LEMOINE AVE FL 1
FORT LEE, NJ
ZIP 07024
Phone: (201) 363-9844
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FOOT AND ANKLE CENTER OF NJ & NY LLC is a podiatrist in Fort Lee, 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. FOOT AND ANKLE CENTER OF NJ & NY LLC NPI is 1356123293. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2225 LEMOINE AVE FL 1
FORT LEE, NJ
ZIP 07024-104
Phone: (201) 363-9844
Fax: (201) 363-9662

The provider's authorized official is Gavriil Khaimov .
The authorized official title is Owner and has the following contact phone number (201) 363-9844.

The enumeration date for this NPI number is 10/16/2023 and was last updated on 10/16/2023.


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
1213E00000XPodiatristYes

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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