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NOVA FOOT AND ANKLE NPI 1700454543


NPI Information

NPI: 1700454543
Provider Name: NOVA FOOT AND ANKLE

Doing Business As: NOVA FOOT AND ANKLE

Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
3200 FRANKFORD AVENUE 3 FL
3 FL
PHILADELPHIA, PA
ZIP 19134
Phone: (267) 761-9780
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NOVA FOOT AND ANKLE is a foot and ankle surgery podiatrist in Philadelphia, PA. NOVA FOOT AND ANKLE NPI is 1700454543. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Nova Foot And Ankle.

The provider's business location address is:

3200 FRANKFORD AVENUE 3 FL
3 FL
PHILADELPHIA, PA
ZIP 19134
Phone: (267) 761-9780
Fax: (267) 761-9781

The provider's authorized official is Elizabeth Luong .
The authorized official title is Owner and has the following contact phone number (267) 761-9780.

The enumeration date for this NPI number is 6/17/2021 and was last updated on 7/28/2021.


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
11760688063MEDICAIDPENNSYLVANIA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.