Innovative Foot And Ankle, P.A. in Kenilworth - Primary Podiatric Medicine
Innovative Foot And Ankle, P.A. - NPI 1023177532
Innovative Foot And Ankle, P.A. is a Primary Podiatric Medicine in Kenilworth, New Jersey. Innovative Foot And Ankle, P.A. practices all healthcare services and medical treatments related to Primary Podiatric Medicine. The NPI Number for Innovative Foot And Ankle, P.A. is 1023177532. The last update date is 2023-10-05.
Innovative Foot And Ankle, P.A.'s current location address is 528 Boulevard, Kenilworth, New Jersey. You can contact this provider via phone number 9082766624 and fax number 9087090163. The mailing address for Innovative Foot And Ankle, P.A. is 528 Boulevard, Kenilworth, New Jersey. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Innovative Foot And Ankle, P.A. |
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Address | 528 Boulevard, Kenilworth, New Jersey |
Phone Number | 9082766624 |
Fax Number | 9087090163 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OWNER |
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Authorized Official Name | Kaufman L Sean |
Credentials | D.P.M. |
Telephone Number | 9082766624 |
NPI Number Detail
NPI Number | 1023177532 |
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Provider Enumeration Date | 2006-12-08 |
Last Updated Date | 2023-10-05 |
Provider Mailing Address Detail
Address | 528 Boulevard |
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City | Kenilworth |
State | New Jersey (NJ) |
Post Code | 70331657 |
Phone Number | 9082766624 |
Fax Number | 9087090163 |
Provider's Primary Taxonomy Detail
Speciality | Primary Podiatric Medicine |
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Taxonomy | 213Ep1101X |
Licence No | 25MD00261900 |
Definition: A doctor of podiatric medicine expert in general podiatry health services related to medical diagnoses and treatment of the foot, ankle and lower extremities. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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8719501 | NJ | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Innovative Foot And Ankle, P.A. by the Centers for Medicare & Medicaid Services?
The Innovative Foot And Ankle, P.A. has been issued the NPI (National Provider Identifier) 1023177532. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Innovative Foot And Ankle, P.A. is geographically located?
The Innovative Foot And Ankle, P.A. is physically situated at the following location: 528 Boulevard, Kenilworth, NJ, 70331657.
What is Innovative Foot And Ankle, P.A.'s specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Innovative Foot And Ankle, P.A. is Primary Podiatric Medicine, and the taxonomy code that classifies this field of practice is 213Ep1101X.
On what date did the Innovative Foot And Ankle, P.A. receive its 1023177532 assignment from the Centers for Medicare & Medicaid Services?
The Innovative Foot And Ankle, P.A. was assigned its 1023177532 by the Centers for Medicare & Medicaid Services on 2006-12-08.
When was the information regarding Innovative Foot And Ankle, P.A. most recently updated?
The details pertaining to the Innovative Foot And Ankle, P.A., including its address, specialty, and other relevant information, were last refreshed on 2023-10-05.