FOOT CARE OF JERSEY CORPORATION NPI 1003024019

NPI Information

NPI: 1003024019
Provider Name: FOOT CARE OF JERSEY CORPORATION

Other Name: PATRICK CAIN

Classification: Clinic/Center - 261QP1100X
Entity Type: Organization

Specialization: Podiatric

Address:
669 BROADWAY
SUITE 2
PATERSON, NJ
ZIP 07514
Phone: (973) 689-7091
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FOOT CARE OF JERSEY CORPORATION is a podiatric clinic center in Paterson, NJ. FOOT CARE OF JERSEY CORPORATION NPI is 1003024019. The provider is registered as an organization entity type.
The provider Other Name Is Patrick Cain.

The provider's business location address is:

669 BROADWAY
SUITE 2
PATERSON, NJ
ZIP 07514-947
Phone: (973) 689-7091
Fax: (973) 689-7561

The provider's authorized official is Patrick Joseph Cain .
The authorized official title is President and has the following contact phone number (973) 689-7091.

The enumeration date for this NPI number is 5/21/2007 and was last updated on 10/15/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP1100X	Clinic/Center	Podiatric	25MD00284800	NEW JERSEY	Yes

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
1	5771250001	MEDICARE NSC	NEW JERSEY
2	111188	MEDICARE PIN
3	0121185	MEDICAID	NEW 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: 5/5/2024

NPI Synchronization or Removal

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