Active Podiatry Llc

LBN: Active Podiatry Llc
Active Podiatry Llc is an health care organization with primary practice located at 7823 Bergenline Ave Fl 2 , North Bergen NJ 07047-4942. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as the primary health care specialty. Active Podiatry Llc can be contacted via phone (201) 614-3668, or through Badri, Homam via phone (201) 614-3668.

Contact Information

Primary practice address
7823 Bergenline Ave Fl 2 North Bergen NJ 07047-4942
Phone: (201) 614-3668
Fax: (973) 256-4757
Website:
Map and Directions
Authorized official contact:
Name: Badri, Homam Doctor of Podiatric Medicine (DPM)
Phone: (201) 614-3668

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 25MD0032100 New Jersey

Profile Details

NPI number 1093217622
LBN Legal business name Active Podiatry Llc
DBA Doing business as Active Podiatry Llc
Authorized official Badri, Homam Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 28th, 2018
Last updated Jun 16th, 2018 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093217622 NPPES
New Jersey MEDICAID 0429732

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