Active NPIOrganization

Tievsky Podiatry, LLC

Podiatrist, Foot & Ankle Surgery in Fair Lawn, New Jersey

NPI Number1518465020
Practice location
15-01 Broadway Ste 10B, Fair Lawn, NJ 07410-6006
Fax
201-537-6910
Last updated
November 21, 2023

Tievsky Podiatry, LLC is a healthcare organization based in Fair Lawn, NJ. Tievsky Podiatry, LLC practices in Fair Lawn, NJ. The NPI Number for Tievsky Podiatry, LLC is 1518465020 and holds a License No. 25MD00321200 (NJ). The current practice location address for Tievsky Podiatry, LLC is 15-01 Broadway Ste 10B, Fair Lawn, NJ 07410-6006 and can be reached out via phone at 833-439-3668 and via fax at 201-537-6910.

Provider Profile Details

NPI Number
1518465020
Provider Name
Tievsky Podiatry, LLC
Provider Entity Type
Organization
Address
15-01 Broadway Ste 10B, Fair Lawn, NJ 07410-6006
Phone Number
833-439-3668
Fax Number
201-537-6910
Primary Taxonomy
Podiatrist, Foot & Ankle Surgery · 213ES0103X
Organization Subpart
No
Authorized Official
Dr. Alex Tievsky, DPM · President · 718-666-7119
Other Names
Tievsky Foot & Ankle, PLLC (Doing Business As)
Provider Enumeration Date
January 30, 2018
Last Update Date
November 21, 2023
Certification Date
November 21, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
15-01 Broadway Ste 10B
Fair Lawn, NJ 07410-6006
Zip
07410-6006
Phone Number
833-439-3668
Fax Number
201-537-6910
Fair Lawn, NJ 07410Get directions →

Provider Business Mailing Address Details

Address
15-01 Broadway Ste 10B
Fair Lawn, NJ 07410-6006
City
Fair Lawn
State
NJ
Zip
07410-6006
Phone Number
833-439-3668
Fax Number
201-537-6910

License Information

License Number
25MD00321200
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 Tievsky Podiatry, LLC?

The NPI number of Tievsky Podiatry, LLC is 1518465020. It was assigned on January 30, 2018 and is currently active in the NPPES registry.

What is the specialty of Tievsky Podiatry, LLC?

Tievsky Podiatry, LLC is registered under the primary taxonomy Podiatrist, Foot & Ankle Surgery (code 213ES0103X), licensed in NJ under license number 25MD00321200.

Where does Tievsky Podiatry, LLC practice?

The practice location is 15-01 Broadway Ste 10B, Fair Lawn, NJ 07410-6006. The office can be reached at 833-439-3668 (phone) or 201-537-6910 (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 1518465020 directly on the NPPES registry website.

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