Healthcare Provider Details
I. General information
NPI: 1932432572
Provider Name (Legal Business Name): NEW JERSEY FOOT AND ANKLE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/15/2009
Last Update Date: 03/13/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
390 OLD HOOK RD
WESTWOOD NJ
07675-2600
US
IV. Provider business mailing address
390 OLD HOOK RD
WESTWOOD NJ
07675-2600
US
V. Phone/Fax
- Phone: 201-497-6666
- Fax: 201-497-6664
- Phone: 201-497-6666
- Fax: 201-497-6664
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 213ES0103X |
| Taxonomy | Foot & Ankle Surgery Podiatrist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
RALPH
CHARLES
NAPOLI
Title or Position: OWNER
Credential: D.P.M
Phone: 201-265-4400