Reboot Podiatry LLC
Podiatrist, Foot & Ankle Surgery in Cresskill, New Jersey
1265203004- Practice location
- 72 Willis Ave, Cresskill, NJ 07626-2432
- Phone
- 201-655-3565
- Fax
- —
- Last updated
- January 10, 2024
Reboot Podiatry LLC is a healthcare organization based in Cresskill, NJ. Reboot Podiatry LLC practices in Cresskill, NJ. The NPI Number for Reboot Podiatry LLC is 1265203004. The current practice location address for Reboot Podiatry LLC is 72 Willis Ave, Cresskill, NJ 07626-2432 and can be reached out via phone at 201-655-3565.
Provider Profile Details
- NPI Number
- 1265203004
- Provider Name
- Reboot Podiatry LLC
- Provider Entity Type
- Organization
- Address
- 72 Willis Ave, Cresskill, NJ 07626-2432
- Phone Number
- 201-655-3565
- Primary Taxonomy
- Podiatrist, Foot & Ankle Surgery · 213ES0103X
- Organization Subpart
- No
- Authorized Official
- Alicia J Kim, DPM · Owner · 201-655-3565
- Provider Enumeration Date
- January 10, 2024
- Last Update Date
- January 10, 2024
- Certification Date
- January 10, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 72 Willis Ave
Cresskill, NJ 07626-2432 - City
- Cresskill
- State
- New Jersey
- Zip
- 07626-2432
- Phone Number
- 201-655-3565
Provider Business Mailing Address Details
- Address
- 246B Livingston St Ste 133
Northvale, NJ 07647-1902 - City
- Northvale
- State
- NJ
- Zip
- 07647-1902
- Phone Number
- 201-655-3565
License Information
- Taxonomy (1)
- Durable Medical Equipment & Medical Supplies · 332B00000X
- Taxonomy (2)
- Podiatrist, Foot & Ankle Surgery · 213ES0103X · 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 Reboot Podiatry LLC?
The NPI number of Reboot Podiatry LLC is 1265203004. It was assigned on January 10, 2024 and is currently active in the NPPES registry.
What is the specialty of Reboot Podiatry LLC?
Reboot Podiatry LLC is registered under the primary taxonomy Podiatrist, Foot & Ankle Surgery (code 213ES0103X).
Where does Reboot Podiatry LLC practice?
The practice location is 72 Willis Ave, Cresskill, NJ 07626-2432. The office can be reached at 201-655-3565 (phone).
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 1265203004 directly on the NPPES registry website.