Active NPIOrganization

Northeastern Foot & Ankle Specialists, PC

Podiatrist, Foot & Ankle Surgery in Passaic, New Jersey

NPI Number1265505077
Practice location
235 Main Ave, Passaic, NJ 07055-5501
Fax
973-471-7308
Last updated
January 6, 2015

Northeastern Foot & Ankle Specialists, PC is a healthcare organization based in Passaic, NJ. Northeastern Foot & Ankle Specialists, PC practices in Passaic, NJ. The NPI Number for Northeastern Foot & Ankle Specialists, PC is 1265505077 and holds a License No. 25MD00272000 (NJ). The current practice location address for Northeastern Foot & Ankle Specialists, PC is 235 Main Ave, Passaic, NJ 07055-5501 and can be reached out via phone at 973-473-6665 and via fax at 973-471-7308.

Provider Profile Details

NPI Number
1265505077
Provider Name
Northeastern Foot & Ankle Specialists, PC
Provider Entity Type
Organization
Address
235 Main Ave, Passaic, NJ 07055-5501
Phone Number
973-473-6665
Fax Number
973-471-7308
Primary Taxonomy
Podiatrist, Foot & Ankle Surgery · 213ES0103X
Organization Subpart
No
Authorized Official
Dr. Anas Khoury, DPM · President · 973-473-6665
Provider Enumeration Date
November 17, 2006
Last Update Date
January 6, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
235 Main Ave
Passaic, NJ 07055-5501
Zip
07055-5501
Phone Number
973-473-6665
Fax Number
973-471-7308
Passaic, NJ 07055Get directions →

Provider Business Mailing Address Details

Address
235 Main Ave
Passaic, NJ 07055-5501
City
Passaic
State
NJ
Zip
07055-5501
Phone Number
973-473-6665
Fax Number
973-471-7308

License Information

License Number
25MD00272000
License State
NJ
Taxonomy
Podiatrist, Foot & Ankle Surgery · 213ES0103X · 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 Northeastern Foot & Ankle Specialists, PC?

The NPI number of Northeastern Foot & Ankle Specialists, PC is 1265505077. It was assigned on November 17, 2006 and is currently active in the NPPES registry.

What is the specialty of Northeastern Foot & Ankle Specialists, PC?

Northeastern Foot & Ankle Specialists, PC is registered under the primary taxonomy Podiatrist, Foot & Ankle Surgery (code 213ES0103X), licensed in NJ under license number 25MD00272000.

Where does Northeastern Foot & Ankle Specialists, PC practice?

The practice location is 235 Main Ave, Passaic, NJ 07055-5501. The office can be reached at 973-473-6665 (phone) or 973-471-7308 (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 1265505077 directly on the NPPES registry website.

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