ESTRADA PODIATRY GROUP LLC NPI 1639304249

NPI Information

  • NPI: 1639304249
  • Provider Name: ESTRADA PODIATRY GROUP LLC
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Organization
  • Address: 5005 BERGENLINE AVE
    WEST NEW YORK, NJ
    ZIP 07093
  • Phone: (201) 865-3400

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NPI Details

ESTRADA PODIATRY GROUP LLC is a foot and ankle surgery podiatrist in West New York, NJ. ESTRADA PODIATRY GROUP LLC NPI is 1639304249. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5005 BERGENLINE AVE
WEST NEW YORK, NJ
ZIP 07093-563
Phone: (201) 865-3400
Fax: (201) 520-0040

The provider's authorized official is Alexander Estrada .
The authorized official title is President and has the following contact phone number (201) 865-3400.

The enumeration date for this NPI number is 5/27/2009 and was last updated on 5/27/2009.

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
1213ES0103XPodiatristFoot & Ankle Surgery25MD00268900NEW JERSEYYes

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
1U92478MEDICARE UPINNEW JERSEY
2P00353274OTHERNEW JERSEYPALMETTO GBA
30056553MEDICAIDNEW JERSEY
4063918MEDICARE PINNEW 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: 11/21/2025

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