Active NPIOrganization

Innovative Foot And Ankle, P.a.

Podiatrist, Primary Podiatric Medicine in Kenilworth, New Jersey

NPI Number1023177532
Practice location
528 Boulevard, Kenilworth, NJ 07033-1657
Fax
908-709-0163
Last updated
October 5, 2023

Innovative Foot And Ankle, P.a. is a healthcare organization based in Kenilworth, NJ. Innovative Foot And Ankle, P.a. practices in Kenilworth, NJ. The NPI Number for Innovative Foot And Ankle, P.a. is 1023177532 and holds a License No. 25MD00261900 (NJ). The current practice location address for Innovative Foot And Ankle, P.a. is 528 Boulevard, Kenilworth, NJ 07033-1657 and can be reached out via phone at 908-276-6624 and via fax at 908-709-0163.

Provider Profile Details

NPI Number
1023177532
Provider Name
Innovative Foot And Ankle, P.a.
Provider Entity Type
Organization
Address
528 Boulevard, Kenilworth, NJ 07033-1657
Phone Number
908-276-6624
Fax Number
908-709-0163
Primary Taxonomy
Podiatrist, Primary Podiatric Medicine · 213EP1101X
Organization Subpart
No
Authorized Official
Dr. Sean L Kaufman, DPM · Owner · 908-276-6624
Other Names
Daniel Brandwein DPM And Sean Kaufman DPM (Former Legal Business Name)
Provider Enumeration Date
December 8, 2006
Last Update Date
October 5, 2023
Certification Date
October 5, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
528 Boulevard
Kenilworth, NJ 07033-1657
Zip
07033-1657
Phone Number
908-276-6624
Fax Number
908-709-0163
Kenilworth, NJ 07033Get directions →

Provider Business Mailing Address Details

Address
528 Boulevard
Kenilworth, NJ 07033-1657
City
Kenilworth
State
NJ
Zip
07033-1657
Phone Number
908-276-6624
Fax Number
908-709-0163

License Information

License Number
25MD00261900
License State
NJ
Taxonomy
Podiatrist, Primary Podiatric Medicine · 213EP1101X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Innovative Foot And Ankle, P.a.?

The NPI number of Innovative Foot And Ankle, P.a. is 1023177532. It was assigned on December 8, 2006 and is currently active in the NPPES registry.

What is the specialty of Innovative Foot And Ankle, P.a.?

Innovative Foot And Ankle, P.a. is registered under the primary taxonomy Podiatrist, Primary Podiatric Medicine (code 213EP1101X), licensed in NJ under license number 25MD00261900.

Where does Innovative Foot And Ankle, P.a. practice?

The practice location is 528 Boulevard, Kenilworth, NJ 07033-1657. The office can be reached at 908-276-6624 (phone) or 908-709-0163 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1023177532 directly on the NPPES registry website.

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