Healthcare Provider Details

I. General information

NPI: 1144483769
Provider Name (Legal Business Name): YOKAIRA A. ESPIRITUSANTO DPM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/03/2008
Last Update Date: 04/08/2024
Certification Date: 04/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

916 MAIN AVE STE 2A
PASSAIC NJ
07055-8545
US

IV. Provider business mailing address

159 HOWARD AVE
PASSAIC NJ
07055-4511
US

V. Phone/Fax

Practice location:
  • Phone: 973-495-3338
  • Fax: 973-246-5765
Mailing address:
  • Phone: 917-592-0651
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberN006311-1
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number25MD00306600
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number25MD00306600
License Number StateNJ
# 4
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberN006311-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: