OCEAN COUNTY FOOT & ANKLE SURGICAL ASSOCIATES NPI 1982141065

NPI Information

NPI: 1982141065
Provider Name: OCEAN COUNTY FOOT & ANKLE SURGICAL ASSOCIATES
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

CLIA Number: 31D2219548

Address:
638 LACEY RD
FORKED RIVER, NJ
ZIP 08731
Phone: (609) 693-3202
Get Directions

OCEAN COUNTY FOOT & ANKLE SURGICAL ASSOCIATES is a foot and ankle surgery podiatrist in Forked River, NJ. OCEAN COUNTY FOOT & ANKLE SURGICAL ASSOCIATES NPI is 1982141065. The provider is registered as an organization entity type.

The provider's business location address is:

638 LACEY RD
FORKED RIVER, NJ
ZIP 08731-104
Phone: (609) 693-3202
Fax: (609) 639-7865

The provider's authorized official is Russell David Petranto .
The authorized official title is Authorized Official and has the following contact phone number (732) 505-4500.

The CLIA number assigned to this NPI record is 31D2219548 - other - county detention center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/26/2017 and was last updated on 12/12/2022.

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	332B00000X	Durable Medical Equipment & Medical Supplies				No
2	213ES0103X	Podiatrist	Foot & Ankle Surgery			Yes

What is NPI?

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This page was last updated on: 5/5/2024

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