Nj Rehab Pain Clinic & Podiatry PC
Podiatrist in Ridgefield, New Jersey
1316390172- Practice location
- 845 Broad Ave, Ridgefield, NJ 07657-1002
- Phone
- 201-390-3730
- Fax
- —
- Last updated
- October 22, 2025
Nj Rehab Pain Clinic & Podiatry PC is a healthcare organization based in Ridgefield, NJ. Nj Rehab Pain Clinic & Podiatry PC practices in Ridgefield, NJ. The NPI Number for Nj Rehab Pain Clinic & Podiatry PC is 1316390172 and holds a License No. 25MD00301600 (NJ). The current practice location address for Nj Rehab Pain Clinic & Podiatry PC is 845 Broad Ave, Ridgefield, NJ 07657-1002 and can be reached out via phone at 201-390-3730.
Provider Profile Details
- NPI Number
- 1316390172
- Provider Name
- Nj Rehab Pain Clinic & Podiatry PC
- Provider Entity Type
- Organization
- Address
- 845 Broad Ave, Ridgefield, NJ 07657-1002
- Phone Number
- 201-390-3730
- Primary Taxonomy
- Podiatrist · 213E00000X
- Organization Subpart
- No
- Authorized Official
- Kwangsu Kim, DPM · President · 718-229-9200
- Provider Enumeration Date
- July 18, 2016
- Last Update Date
- October 22, 2025
- Certification Date
- October 22, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 845 Broad Ave
Ridgefield, NJ 07657-1002 - City
- Ridgefield
- State
- New Jersey
- Zip
- 07657-1002
- Phone Number
- 201-390-3730
Provider Business Mailing Address Details
- Address
- 845 Broad Ave
Ridgefield, NJ 07657-1055 - City
- Ridgefield
- State
- NJ
- Zip
- 07657-1055
- Phone Number
- 201-390-3730
License Information
- License Number
- 25MD00301600
- License State
- NJ
- Taxonomy
- 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 Nj Rehab Pain Clinic & Podiatry PC?
The NPI number of Nj Rehab Pain Clinic & Podiatry PC is 1316390172. It was assigned on July 18, 2016 and is currently active in the NPPES registry.
What is the specialty of Nj Rehab Pain Clinic & Podiatry PC?
Nj Rehab Pain Clinic & Podiatry PC is registered under the primary taxonomy Podiatrist (code 213E00000X), licensed in NJ under license number 25MD00301600.
Where does Nj Rehab Pain Clinic & Podiatry PC practice?
The practice location is 845 Broad Ave, Ridgefield, NJ 07657-1002. The office can be reached at 201-390-3730 (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 1316390172 directly on the NPPES registry website.