ALLSTAR FOOT & ANKLE LLC NPI 1245424407

NPI Information

NPI: 1245424407
Provider Name: ALLSTAR FOOT & ANKLE LLC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
9001 LINCOLN DR W STE G
MARLTON, NJ
ZIP 08053
Phone: (856) 983-0900
Get Directions

ALLSTAR FOOT & ANKLE LLC is a foot and ankle surgery podiatrist in Marlton, NJ. ALLSTAR FOOT & ANKLE LLC NPI is 1245424407. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9001 LINCOLN DR W STE G
MARLTON, NJ
ZIP 08053-202
Phone: (856) 983-0900
Fax: (856) 983-0905

The provider's authorized official is Rudolf Zak .
The authorized official title is Owner/manager and has the following contact phone number (856) 983-0900.

The enumeration date for this NPI number is 8/30/2007 and was last updated on 1/10/2008.

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	213ES0103X	Podiatrist	Foot & Ankle Surgery	25MD00278000	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	5960990001	MEDICARE NSC	NEW JERSEY
2	114847	MEDICARE PIN
3	V04898	MEDICARE UPIN
4	100951	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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