Estrada Podiatry Group Llc
LBN: Estrada Podiatry Group Llc
Estrada Podiatry Group Llc is an health care organization with primary practice located at 5005 Bergenline Ave , West New York NJ 07093-5563. 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.
Estrada Podiatry Group Llc can be contacted via phone (201) 865-3400, or through Estrada, Alexander via phone (201) 865-3400.
Contact Information
Primary practice address
5005 Bergenline Ave
West New York NJ 07093-5563
Phone: (201) 865-3400
Fax: (201) 520-0040
Website:
Authorized official contact:
Name: Estrada, Alexander Doctor of Podiatric Medicine (DPM)
Phone: (201) 865-3400
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 25MD00268900 | New Jersey |
Profile Details
| NPI number | 1639304249 |
|---|---|
| LBN Legal business name | Estrada Podiatry Group Llc |
| DBA Doing business as | |
| Authorized official | Estrada, Alexander Doctor of Podiatric Medicine (DPM) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 27th, 2009 |
| Last updated | May 27th, 2009 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639304249 | NPPES |
| New Jersey | MEDICAID | 0056553 | |
| New Jersey | Other | P00353274 |
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