PREMIER FOOT AND ANKLE GROUP PC NPI 1376750174

NPI Information

NPI: 1376750174
Provider Name: PREMIER FOOT AND ANKLE GROUP PC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
1500 PLEASANT VALLEY WAY
SUITE 201
WEST ORANGE, NJ
ZIP 07052
Phone: (973) 669-8600
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PREMIER FOOT AND ANKLE GROUP PC is a foot and ankle surgery podiatrist in West Orange, NJ. PREMIER FOOT AND ANKLE GROUP PC NPI is 1376750174. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1500 PLEASANT VALLEY WAY
SUITE 201
WEST ORANGE, NJ
ZIP 07052-956
Phone: (973) 669-8600
Fax: (973) 669-8699

The provider's authorized official is Peter Levine .
The authorized official title is Partner and has the following contact phone number (973) 669-8600.

The enumeration date for this NPI number is 5/17/2007 and was last updated on 8/22/2020.

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
1	213ES0103X	Podiatrist	Foot & Ankle Surgery	25MD00288100	NEW JERSEY	Yes

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

NPI Synchronization or Removal

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