BERGEN FAMILY FOOT CARE LLC NPI 1326182346

NPI Information

NPI: 1326182346
Provider Name: BERGEN FAMILY FOOT CARE, LLC

Doing Business As: BERGEN FAMILY FOOT CARE, LLC

Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
67 BROADWAY
ELMWOOD PARK, NJ
ZIP 07407
Phone: (201) 794-3223
Get Directions

BERGEN FAMILY FOOT CARE, LLC is a foot and ankle surgery podiatrist in Elmwood Park, NJ. BERGEN FAMILY FOOT CARE, LLC NPI is 1326182346. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Bergen Family Foot Care, Llc.

The provider's business location address is:

67 BROADWAY
ELMWOOD PARK, NJ
ZIP 07407-836
Phone: (201) 794-3223
Fax: (201) 794-8411

The provider's authorized official is John Joseph Caponigro .
The authorized official title is Owner and has the following contact phone number (201) 794-3223.

The enumeration date for this NPI number is 2/16/2007 and was last updated on 11/4/2008.

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	MD02533	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	4599100001	MEDICARE NSC	NEW JERSEY
2	035759	MEDICARE ID-TYPE UNSPECIFIED	NEW JERSEY
3	U72947	MEDICARE UPIN	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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