NJ MINIMALLY INVASIVE PODIATRIC SURGERY P.C. NPI 1285369272

NPI Information

NPI: 1285369272
Provider Name: NJ MINIMALLY INVASIVE PODIATRIC SURGERY P.C.
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
1250 E RIDGEWOOD AVE STE 11
RIDGEWOOD, NJ
ZIP 07450
Phone: (201) 701-1595
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NJ MINIMALLY INVASIVE PODIATRIC SURGERY P.C. is a foot and ankle surgery podiatrist in Ridgewood, NJ. NJ MINIMALLY INVASIVE PODIATRIC SURGERY P.C. NPI is 1285369272. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1250 E RIDGEWOOD AVE STE 11
RIDGEWOOD, NJ
ZIP 07450-930
Phone: (201) 701-1595
Fax: (212) 867-3845

The provider's authorized official is Jose Eligio Grullon .
The authorized official title is Podiatrist and has the following contact phone number (201) 598-1184.

The enumeration date for this NPI number is 7/22/2022 and was last updated on 7/22/2022.

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	213ES0103X	Podiatrist	Foot & Ankle Surgery			Yes

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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