Healthcare Provider Details

I. General information

NPI: 1326900507
Provider Name (Legal Business Name): REECE FOOT & ANKLE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/26/2025
Last Update Date: 11/26/2025
Certification Date: 11/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1434 WILLIAMSBRIDGE RD FL 2
BRONX NY
10461-2507
US

IV. Provider business mailing address

560 HUDSON ST STE 301
HACKENSACK NJ
07601-6655
US

V. Phone/Fax

Practice location:
  • Phone: 201-641-2125
  • Fax: 212-888-6024
Mailing address:
  • Phone: 201-641-2125
  • Fax: 212-888-6024

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License Number
License Number State

VIII. Authorized Official

Name: RACHEL MICHELE REECE
Title or Position: PROVIDER
Credential: DPM
Phone: 646-250-9551