Active NPIOrganization

Estrada Podiatry Group LLC

Podiatrist, Foot & Ankle Surgery in West New York, New Jersey

NPI Number1639304249
Practice location
5005 Bergenline Ave, West New York, NJ 07093-5563
Fax
201-520-0040
Last updated
May 27, 2009

Estrada Podiatry Group LLC is a healthcare organization based in West New York, NJ. Estrada Podiatry Group LLC practices in West New York, NJ. The NPI Number for Estrada Podiatry Group LLC is 1639304249 and holds a License No. 25MD00268900 (NJ). The current practice location address for Estrada Podiatry Group LLC is 5005 Bergenline Ave, West New York, NJ 07093-5563 and can be reached out via phone at 201-865-3400 and via fax at 201-520-0040.

Provider Profile Details

NPI Number
1639304249
Provider Name
Estrada Podiatry Group LLC
Provider Entity Type
Organization
Address
5005 Bergenline Ave, West New York, NJ 07093-5563
Phone Number
201-865-3400
Fax Number
201-520-0040
Primary Taxonomy
Podiatrist, Foot & Ankle Surgery · 213ES0103X
Organization Subpart
No
Authorized Official
Dr. Alexander Estrada, DPM · President · 201-865-3400
Provider Enumeration Date
May 27, 2009
Last Update Date
May 27, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
5005 Bergenline Ave
West New York, NJ 07093-5563
Zip
07093-5563
Phone Number
201-865-3400
Fax Number
201-520-0040
West New York, NJ 07093Get directions →

Provider Business Mailing Address Details

Address
5005 Bergenline Ave
West New York, NJ 07093-5563
City
West New York
State
NJ
Zip
07093-5563
Phone Number
201-865-3400
Fax Number
201-520-0040

License Information

License Number
25MD00268900
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 Estrada Podiatry Group LLC?

The NPI number of Estrada Podiatry Group LLC is 1639304249. It was assigned on May 27, 2009 and is currently active in the NPPES registry.

What is the specialty of Estrada Podiatry Group LLC?

Estrada Podiatry Group LLC is registered under the primary taxonomy Podiatrist, Foot & Ankle Surgery (code 213ES0103X), licensed in NJ under license number 25MD00268900.

Where does Estrada Podiatry Group LLC practice?

The practice location is 5005 Bergenline Ave, West New York, NJ 07093-5563. The office can be reached at 201-865-3400 (phone) or 201-520-0040 (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 1639304249 directly on the NPPES registry website.

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