Northeastern Foot & Ankle Specialists, Pc

LBN: Northeastern Foot & Ankle Specialists, Pc
Northeastern Foot & Ankle Specialists, Pc is an health care organization with primary practice located at 235 Main Ave , Passaic NJ 07055-5501. 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. Northeastern Foot & Ankle Specialists, Pc can be contacted via phone (973) 473-6665, or through Khoury, Anas via phone (973) 473-6665.

Contact Information

Primary practice address
235 Main Ave Passaic NJ 07055-5501
Fax: (973) 471-7308
Website:
Authorized official contact:
Name: Khoury, Anas Doctor of Podiatric Medicine (DPM)

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 25MD00272000 New Jersey

Profile Details

NPI number 1265505077
LBN Legal business name Northeastern Foot & Ankle Specialists, Pc
DBA Doing business as
Authorized official Khoury, Anas Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 17th, 2006
Last updated Jan 6th, 2015 - about 10 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 1265505077 NPPES
New Jersey MEDICAID 0011533

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