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BERGENLINE FOOT CARE LLC NPI 1316377211


NPI Information

NPI: 1316377211
Provider Name: BERGENLINE FOOT CARE LLC
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
4500 BERGENLINE AVE
UNION CITY, NJ
ZIP 07087
Phone: (201) 283-6849
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BERGENLINE FOOT CARE LLC is a podiatrist in Union City, NJ. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. BERGENLINE FOOT CARE LLC NPI is 1316377211. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4500 BERGENLINE AVE
UNION CITY, NJ
ZIP 07087-733
Phone: (201) 283-6849

The provider's authorized official is Javier R Ponce .
The authorized official title is Owner and has the following contact phone number (201) 283-6849.

The enumeration date for this NPI number is 11/14/2013 and was last updated on 11/14/2013.


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
1213E00000XPodiatrist25MD00246800NEW JERSEYYes

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

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