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NPI Code Detail

MEDICARE: WESTSIDE PODIATRIC ASSOCIATES LLC

MEDICARE: WESTSIDE PODIATRIC ASSOCIATES LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213ES0131XFoot Surgery PodiatristN005487-1NY
2213ES0131XFoot Surgery PodiatristMD00251700NJ

General Provider Information

NPI Number : 1306116900
Entity Type Code : Organization
Provider Name (Legal Business Name) : WESTSIDE PODIATRIC ASSOCIATES LLC
Provider Business Mailing Address
First Line : 85 STELLING AVE
Second Line :
City : MAYWOOD
State : NJ
Zip : 07607-2135
Country : US
Telephone Number : 201-491-2173
Fax Number : 201-586-0202
Provider Business Practice Location Address
First Line : 10 MCKINLEY ST STE 15
Second Line :
City : CLOSTER
State : NJ
Zip : 07624-2726
Country : US
Telephone Number : 201-784-1900
Fax Number : 201-784-8785
Authorized Official
Title or Position : OWNER
Name : DR. DAVID P LUONGO
Credential : DPM
Telephone Number : 201-491-2173
Provider Enumeration Date : 01/12/2012
Last Update Date : 08/31/2023

Similar Medicare Providers

1700872397 — DR. DAVID P LUONGO DPM
Practice Location Address:
10 MCKINLEY ST STE 15
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07624-2726
Practice Phone: 201-784-1900
Practice Fax: 201-784-8785
1467757294 — DR. LAUREN DARA GROSSMAN DPM
Practice Location Address:
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1427418524 — DR. JENNIFER CARLSON PSY. D.
Practice Location Address:
10 MCKINLEY ST STE 12
CLOSTER, NJ
07624-2726
Practice Phone: 201-960-6614
Practice Fax:
1861004368 — GROSSMAN F & A PC
Practice Location Address:
10 MCKINLEY ST STE 15
CLOSTER, NJ
07624-2726
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1861105603 — JENNIFER A. CARLSON, PSY D
Practice Location Address:
10 MCKINLEY ST STE 12
CLOSTER, NJ
07624-2726
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Practice Fax: 201-890-8027
1881697753 — DR. ALAN ROSS O.D.
Practice Location Address:
270 CLOSTER DOCK RD
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07624-2616
Practice Phone: 201-768-2433
Practice Fax: 201-768-1861

Directions to “WESTSIDE PODIATRIC ASSOCIATES LLC ” Practice Location

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