Healthcare Provider Details

I. General information

NPI: 1699584201
Provider Name (Legal Business Name): ALL HEALTH PODIATRY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/07/2025
Last Update Date: 01/07/2025
Certification Date: 01/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

83 SUMMIT AVE
HACKENSACK NJ
07601-1374
US

IV. Provider business mailing address

357 PROSPECT AVE
HACKENSACK NJ
07601-2519
US

V. Phone/Fax

Practice location:
  • Phone: 551-309-3555
  • Fax:
Mailing address:
  • Phone: 551-309-3555
  • Fax: 833-775-0075

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: DR. SUHEL AHMED
Title or Position: OWNER
Credential: MD
Phone: 917-843-4181