Active NPIOrganization

Podiatry Associates Of Englewood Nj PC

Podiatrist in Englewood, New Jersey

NPI Number1477744555
Practice location
363 Grand Ave, Englewood, NJ 07631-4104
Fax
201-568-7567
Last updated
June 23, 2026

Podiatry Associates Of Englewood Nj PC is a healthcare organization based in Englewood, NJ. Podiatry Associates Of Englewood Nj PC practices in Englewood, NJ. The NPI Number for Podiatry Associates Of Englewood Nj PC is 1477744555 and holds a License No. MD1961 (NJ). The current practice location address for Podiatry Associates Of Englewood Nj PC is 363 Grand Ave, Englewood, NJ 07631-4104 and can be reached out via phone at 201-568-6977 and via fax at 201-568-7567.

Provider Profile Details

NPI Number
1477744555
Provider Name
Podiatry Associates Of Englewood Nj PC
Provider Entity Type
Organization
Address
363 Grand Ave, Englewood, NJ 07631-4104
Phone Number
201-568-6977
Fax Number
201-568-7567
Primary Taxonomy
Podiatrist · 213E00000X
Organization Subpart
No
Authorized Official
Jill Hagen, DPM · President · 201-918-4000
Provider Enumeration Date
August 5, 2007
Last Update Date
June 23, 2026
Certification Date
June 23, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
363 Grand Ave
Englewood, NJ 07631-4104
Zip
07631-4104
Phone Number
201-568-6977
Fax Number
201-568-7567
Englewood, NJ 07631Get directions →

Provider Business Mailing Address Details

Address
363 Grand Ave
Englewood, NJ 07631-4104
City
Englewood
State
NJ
Zip
07631-4104
Phone Number
201-918-4000
Fax Number
201-568-7567

License Information

License Number (1)
MD1961
License State (1)
NJ
Taxonomy (1)
Podiatrist, Foot & Ankle Surgery · 213ES0103X
License Number (2)
MD1961
License State (2)
NJ
Taxonomy (2)
Podiatrist · 213E00000X · 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 Podiatry Associates Of Englewood Nj PC?

The NPI number of Podiatry Associates Of Englewood Nj PC is 1477744555. It was assigned on August 5, 2007 and is currently active in the NPPES registry.

What is the specialty of Podiatry Associates Of Englewood Nj PC?

Podiatry Associates Of Englewood Nj PC is registered under the primary taxonomy Podiatrist (code 213E00000X), licensed in NJ under license number MD1961.

Where does Podiatry Associates Of Englewood Nj PC practice?

The practice location is 363 Grand Ave, Englewood, NJ 07631-4104. The office can be reached at 201-568-6977 (phone) or 201-568-7567 (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 1477744555 directly on the NPPES registry website.

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