Podiatry Associates Of Englewood Nj Pc

LBN: Podiatry Associates Of Englewood Nj Pc
Podiatry Associates Of Englewood Nj Pc is an health care organization with primary practice located at 363 Grand Ave , Englewood NJ 07631-4104. The organization recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Podiatrist is the primary health care specialty. Podiatry Associates Of Englewood Nj Pc can be contacted via phone (201) 568-6977, or through Hagen, Jill via phone (201) 568-6977.

Contact Information

Primary practice address
363 Grand Ave Englewood NJ 07631-4104
Fax: (201) 568-7567
Website:
Authorized official contact:
Name: Hagen, Jill Doctor of Podiatric Medicine (DPM)

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X MD1961 New Jersey
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X MD1961 New Jersey

Profile Details

NPI number 1477744555
LBN Legal business name Podiatry Associates Of Englewood Nj Pc
DBA Doing business as
Authorized official Hagen, Jill Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 5th, 2007
Last updated Jul 31st, 2009 - about 15 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 1477744555 NPPES
New Jersey Other 0452298000 AMERIHEALTH
New Jersey Other 0063356 AMERIHEALTH
New Jersey Other 0110120 AMERIHEALTH
New Jersey Other 2139688 AMERIHEALTH
New Jersey Other J32278 AMERIHEALTH
New Jersey MEDICAID 6198104 AMERIHEALTH
New Jersey Other P1023259 AMERIHEALTH

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