- Practice location
- 1529 Route 206 Ste L, Tabernacle, NJ 08088-8801
- Phone
- 856-422-2323
- Fax
- 856-872-4544
- Last updated
- March 17, 2018
Evolve Foot And Ankle is a healthcare organization based in Tabernacle, NJ. Evolve Foot And Ankle practices in Tabernacle, NJ. The NPI Number for Evolve Foot And Ankle is 1114455920 and holds a License No. 25MD00336100 (NJ). The current practice location address for Evolve Foot And Ankle is 1529 Route 206 Ste L, Tabernacle, NJ 08088-8801 and can be reached out via phone at 856-422-2323 and via fax at 856-872-4544.
Provider Profile Details
- NPI Number
- 1114455920
- Provider Name
- Evolve Foot And Ankle
- Provider Entity Type
- Organization
- Address
- 1529 Route 206 Ste L, Tabernacle, NJ 08088-8801
- Phone Number
- 856-422-2323
- Fax Number
- 856-872-4544
- Primary Taxonomy
- Podiatrist · 213E00000X
- Organization Subpart
- No
- Authorized Official
- Urwah Haq, DPM · Physician · 856-422-2323
- Provider Enumeration Date
- May 24, 2017
- Last Update Date
- March 17, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1529 Route 206 Ste L
Tabernacle, NJ 08088-8801 - City
- Tabernacle
- State
- New Jersey
- Zip
- 08088-8801
- Phone Number
- 856-422-2323
- Fax Number
- 856-872-4544
Provider Business Mailing Address Details
- Address
- Po Box 468
Marlton, NJ 08053-0468 - City
- Marlton
- State
- NJ
- Zip
- 08053-0468
License Information
- Taxonomy (1)
- Podiatrist, Foot & Ankle Surgery · 213ES0103X
- License Number (2)
- 25MD00336100
- License State (2)
- NJ
- Taxonomy (2)
- Podiatrist · 213E00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Evolve Foot And Ankle?
The NPI number of Evolve Foot And Ankle is 1114455920. It was assigned on May 24, 2017 and is currently active in the NPPES registry.
What is the specialty of Evolve Foot And Ankle?
Evolve Foot And Ankle is registered under the primary taxonomy Podiatrist (code 213E00000X), licensed in NJ under license number 25MD00336100.
Where does Evolve Foot And Ankle practice?
The practice location is 1529 Route 206 Ste L, Tabernacle, NJ 08088-8801. The office can be reached at 856-422-2323 (phone) or 856-872-4544 (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 1114455920 directly on the NPPES registry website.