Active NPI
Foot and Ankle Care of Passaic LLC
- Foot & Ankle Surgery Podiatrist
- Passaic, NJ
National Provider Identifier
1114089679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 25MD00278900
- Legal business name
- FOOT AND ANKLE CARE OF PASSAIC LLC
- Practice address
- 393 Terhune Ave
Passaic, NJ 07055-2448 - Phone
- (973) 246-9420
- Fax
- (718) 261-4220
- NPI assigned
- Dec 14, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sean D Rosenblum, DPM
- Title
- President
- Phone
- (973) 246-9420
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 25MD00278900 | NJ | Primary |
Addresses
Primary practice location
393 Terhune Ave
Passaic, NJ 07055-2448
Mailing address
393 Terhune Ave
Passaic, NJ 07055-2448
Phone (973) 246-9420
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1346803200000",
"number": "1114089679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "393 TERHUNE AVE",
"city": "PASSAIC",
"state": "NJ",
"postal_code": "070552448",
"telephone_number": "973-246-9420",
"fax_number": "718-931-9324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "393 TERHUNE AVE",
"city": "PASSAIC",
"state": "NJ",
"postal_code": "070552448",
"telephone_number": "973-246-9420",
"fax_number": "718-261-4220"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOOT AND ANKLE CARE OF PASSAIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-14",
"last_updated": "2012-09-05",
"status": "A",
"authorized_official_last_name": "ROSENBLUM",
"authorized_official_first_name": "SEAN",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "973-246-9420",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NJ",
"license": "25MD00278900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Passaic, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.