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1003858598 NPI number — ASSOCIATED FOOT & ANKLE SPECIALISTS, LLC

NPI Number: 1003858598
Health Care Provider/Practitioner: ASSOCIATED FOOT & ANKLE SPECIALISTS, LLC

Information about “1003858598” NPI (ASSOCIATED FOOT & ANKLE SPECIALISTS, LLC) exists in 1003858598 in HTML format HTML  |  1003858598 in plain Text format TXT  |  1003858598 in PDF (Portable Document Format) PDF  |  1003858598 in an XML format XML  formats.

NPI Number : 1003858598 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1003858598",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "ASSOCIATED FOOT & ANKLE SPECIALISTS, LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "370 GRAND AVE",
    "SecondLineMailingAddress": "SUITE 101",
    "MailingAddressCityName": "ENGLEWOOD",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "07631-4154",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "201-816-8778",
    "MailingAddressFaxNumber": "201-816-9009",
    "FirstLinePracticeLocationAddress": "370 GRAND AVE",
    "SecondLinePracticeLocationAddress": "SUITE 101",
    "PracticeLocationAddressCityName": "ENGLEWOOD",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "07631-4154",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "201-816-8778",
    "PracticeLocationAddressFaxNumber": "201-816-9009",
    "EnumerationDate": "06/11/2006",
    "LastUpdateDate": "11/12/2013",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "HERSTIK",
    "AuthorizedOfficialFirstName": "BARRY",
    "AuthorizedOfficialMiddleName": "G",
    "AuthorizedOfficialTitle": "DOCTOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "D.P.M",
    "AuthorizedOfficialTelephoneNumber": "201-816-8778",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "213ES0131X",
          "TaxonomyName": "Foot Surgery Podiatrist",
          "LicenseNumber": "N004973",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "213ES0103X",
          "TaxonomyName": "Foot & Ankle Surgery Podiatrist",
          "LicenseNumber": "MD2186",
          "LicenseNumberStateCode": "NJ",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
        }
      ]
    }
  }
}
                
            

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