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NPI Code Detail

MEDICARE: FOOT AND ANKLE SPECIALISTS OF NY AND NJ LLC

MEDICARE: FOOT AND ANKLE SPECIALISTS OF NY AND NJ LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213ES0103XFoot & Ankle Surgery Podiatrist25MD002526000NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10595923OTHERNJAETNA PPO
22116245000OTHERNJAMERIHEALTH
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
41167937OTHERNJNJ HEALTH
5192566OTHERNJAMERIHEALTH PC
62K4955OTHERNJHEALTHNET

General Provider Information

NPI Number : 1790727485
Entity Type Code : Organization
Provider Name (Legal Business Name) : FOOT AND ANKLE SPECIALISTS OF NY AND NJ LLC
Provider Business Mailing Address
First Line : 1230 WHITEHORSE MERCERVILLE RD STE C
Second Line :
City : HAMILTON
State : NJ
Zip : 08619-3838
Country : US
Telephone Number : 609-585-0500
Fax Number : 609-585-5975
Provider Business Practice Location Address
First Line : 1230 WHITEHORSE MERCERVILLE RD STE C
Second Line :
City : HAMILTON
State : NJ
Zip : 08619-3838
Country : US
Telephone Number : 609-585-0500
Fax Number : 609-585-5975
Authorized Official
Title or Position : OWNER
Name : DR. ERIC ROCKMORE
Credential : D P M
Telephone Number : 609-585-0500
Provider Enumeration Date : 06/10/2006
Last Update Date : 03/17/2018

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Directions to “FOOT AND ANKLE SPECIALISTS OF NY AND NJ LLC ” Practice Location

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