Healthcare Provider Details

I. General information

NPI: 1093679755
Provider Name (Legal Business Name): LACONIA FOOT SURGEONS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1221 16TH ST
FORT LEE NJ
07024-1710
US

IV. Provider business mailing address

1221 16TH ST
FORT LEE NJ
07024-1710
US

V. Phone/Fax

Practice location:
  • Phone: 646-657-0070
  • Fax: 212-355-5590
Mailing address:
  • Phone: 646-657-0070
  • Fax: 212-355-5590

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number State

VIII. Authorized Official

Name: DR. NICHOLAS ARGERAKIS
Title or Position: DOCTOR
Credential: DPM
Phone: 201-788-8918