Diabetic Foot & Ankle Centers Of Nj Llc

LBN: Diabetic Foot & Ankle Centers Of Nj Llc
Diabetic Foot & Ankle Centers Of Nj Llc is an health care organization with primary practice located at 667 Eagle Rock Ave , West Orange NJ 07052-2177. 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. Diabetic Foot & Ankle Centers Of Nj Llc can be contacted via phone (973) 736-4030, or through Becker, Simon via phone (973) 736-4030.

Contact Information

Primary practice address
667 Eagle Rock Ave West Orange NJ 07052-2177
Phone: (973) 736-4030
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Becker, Simon Doctor of Podiatric Medicine (DPM)
Phone: (973) 736-4030

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X

Profile Details

NPI number 1669838033
LBN Legal business name Diabetic Foot & Ankle Centers Of Nj Llc
DBA Doing business as
Authorized official Becker, Simon Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 14th, 2016
Last updated Jan 14th, 2016 - about 8 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 1669838033 NPPES
New Jersey MEDICAID 6702805

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