Active NPIOrganization

Fair Lawn Advanced Footcare PC

Clinic/Center, Podiatric in Fair Lawn, New Jersey

NPI Number1184906323
Practice location
15-01 Pollitt Dr, Suite 8B, Fair Lawn, NJ 07410-2769
Fax
212-486-7555
Last updated
September 14, 2011

Fair Lawn Advanced Footcare PC is a healthcare organization based in Fair Lawn, NJ. Fair Lawn Advanced Footcare PC practices in Fair Lawn, NJ. The NPI Number for Fair Lawn Advanced Footcare PC is 1184906323 and holds a License No. 25MD00306300 (NJ). The current practice location address for Fair Lawn Advanced Footcare PC is 15-01 Pollitt Dr, Suite 8B, Fair Lawn, NJ 07410-2769 and can be reached out via phone at 212-486-7333 and via fax at 212-486-7555.

Provider Profile Details

NPI Number
1184906323
Provider Name
Fair Lawn Advanced Footcare PC
Provider Entity Type
Organization
Address
15-01 Pollitt Dr, Suite 8B, Fair Lawn, NJ 07410-2769
Phone Number
212-486-7333
Fax Number
212-486-7555
Primary Taxonomy
Clinic/Center, Podiatric · 261QP1100X
Organization Subpart
No
Authorized Official
Dr. Jordan Drucker, DPM · Owner · 212-486-7333
Provider Enumeration Date
September 14, 2011
Last Update Date
September 14, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
15-01 Pollitt Dr
Suite 8B
Fair Lawn, NJ 07410-2769
Zip
07410-2769
Phone Number
212-486-7333
Fax Number
212-486-7555
Fair Lawn, NJ 07410Get directions →

Provider Business Mailing Address Details

Address
15-01 Pollitt Dr
Suite 8B
Fair Lawn, NJ 07410-2769
City
Fair Lawn
State
NJ
Zip
07410-2769
Phone Number
212-486-7333
Fax Number
212-486-7555

License Information

License Number
25MD00306300
License State
NJ
Taxonomy
Clinic/Center, Podiatric · 261QP1100X · 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 Fair Lawn Advanced Footcare PC?

The NPI number of Fair Lawn Advanced Footcare PC is 1184906323. It was assigned on September 14, 2011 and is currently active in the NPPES registry.

What is the specialty of Fair Lawn Advanced Footcare PC?

Fair Lawn Advanced Footcare PC is registered under the primary taxonomy Clinic/Center, Podiatric (code 261QP1100X), licensed in NJ under license number 25MD00306300.

Where does Fair Lawn Advanced Footcare PC practice?

The practice location is 15-01 Pollitt Dr, Suite 8B, Fair Lawn, NJ 07410-2769. The office can be reached at 212-486-7333 (phone) or 212-486-7555 (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 1184906323 directly on the NPPES registry website.

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