ADVANCED FOOT & ANKLE CENTER INC. NPI 1518268499

NPI Information

NPI: 1518268499
Provider Name: ADVANCED FOOT & ANKLE CENTER INC.
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
1060 BROAD ST
NEWARK, NJ
ZIP 07102
Phone: (973) 906-3344
Get Directions

ADVANCED FOOT & ANKLE CENTER INC. is a foot and ankle surgery podiatrist in Newark, NJ. ADVANCED FOOT & ANKLE CENTER INC. NPI is 1518268499. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1060 BROAD ST
NEWARK, NJ
ZIP 07102-397
Phone: (973) 906-3344
Fax: (973) 741-2700

The provider's authorized official is Vikas Bawa .
The authorized official title is Owner and has the following contact phone number (973) 906-3344.

The enumeration date for this NPI number is 11/9/2010 and was last updated on 10/2/2012.

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	25MD00260200	NEW JERSEY	Yes

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
1	8560005	MEDICAID	NEW JERSEY
2	202010	MEDICARE PIN	NEW 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

NPI Synchronization or Removal

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