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NORTHEAST FOOT AND ANKLE SPECIALISTS PC NPI 1821391434


NPI Information

NPI: 1821391434
Provider Name: NORTHEAST FOOT AND ANKLE SPECIALISTS, PC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
9922 ROOSEVELT BLVD
PHILADELPHIA, PA
ZIP 19115
Phone: (215) 464-2000
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NORTHEAST FOOT AND ANKLE SPECIALISTS, PC is a foot and ankle surgery podiatrist in Philadelphia, PA. NORTHEAST FOOT AND ANKLE SPECIALISTS, PC NPI is 1821391434. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

9922 ROOSEVELT BLVD
PHILADELPHIA, PA
ZIP 19115-705
Phone: (215) 464-2000
Fax: (215) 464-6046

The provider's authorized official is Albert Mosheyev .
The authorized official title is President and has the following contact phone number (215) 464-2000.

The enumeration date for this NPI number is 12/21/2010 and was last updated on 2/17/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213EP1101XPodiatristPrimary Podiatric MedicineSC-009751PENNSYLVANIANo
2213ES0103XPodiatristFoot & Ankle SurgerySC-009751PENNSYLVANIAYes

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
1112461YDF0MEDICARE PINPENNSYLVANIA
26566290001MEDICARE NSCPENNSYLVANIA

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.