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FAMILY FOOT AND ANKLE CENTER OF SOUTH JERSEY NPI 1528106960


NPI Information

NPI: 1528106960
Provider Name: FAMILY FOOT AND ANKLE CENTER OF SOUTH JERSEY
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
1020 KINGS HWY N
SUITE 110
CHERRY HILL, NJ
ZIP 08034
Phone: (856) 667-8222
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FAMILY FOOT AND ANKLE CENTER OF SOUTH JERSEY is a foot and ankle surgery podiatrist in Cherry Hill, NJ. FAMILY FOOT AND ANKLE CENTER OF SOUTH JERSEY NPI is 1528106960. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1020 KINGS HWY N
SUITE 110
CHERRY HILL, NJ
ZIP 08034-906
Phone: (856) 667-8222
Fax: (856) 667-9739

The provider's authorized official is Joseph L Dimenna .
The authorized official title is Podiatrist-owner and has the following contact phone number (856) 667-8222.

The enumeration date for this NPI number is 2/1/2007 and was last updated on 1/30/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16695302MEDICAIDNEW JERSEY
20918640001MEDICARE NSCNEW JERSEY
35372510002MEDICARE NSCNEW JERSEY
40334492000OTHERNEW JERSEYAMERIHEALTH HMO GROUP
53713678OTHERNEW JERSEYAETNA GROUP NUMBER
6087878MEDICARE PINNEW JERSEY
7DC8897OTHERNEW JERSEYRAILROAD MEDICARE GROUP

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: 11/14/2023

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