Great Falls Foot & Ankle Center, P.a.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

25MD00236400 Issued in NJ

Legal business name

GREAT FALLS FOOT & ANKLE CENTER, P.A.

Doing business as

Great Falls Foot & Ankle Center, P.A.

Practice address

21 Mill St Ste 3
Paterson, NJ 07501-1886

Phone

(973) 881-1115

Fax

(973) 881-8686

NPI assigned

Feb 1, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lawrence C Stabile, DPMNPI 1952357121

Title

Owner

Phone

(973) 881-1115

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Great Falls Foot & Ankle Center, P.A. Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ2 enrollments

Enrollment records 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lawrence C. Stabile, DPM

  • Podiatrist
  • Paterson, NJ
  • NPI 1952357121
  Medicare reassignment NPD Authorized official
• David W Gamache, DDS

  • General Practice Dentistry
  • Paterson, NJ
  • NPI 1104932102
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1201824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560988800000",
    "number": "1144408105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 MILL ST",
            "address_2": "SUITE 3",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075011886",
            "telephone_number": "973-881-1115",
            "fax_number": "973-881-8686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 MILL ST STE 3",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075011886",
            "telephone_number": "973-881-1115",
            "fax_number": "973-881-8686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT FALLS FOOT & ANKLE CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-01",
        "last_updated": "2019-06-20",
        "status": "A",
        "authorized_official_last_name": "STABILE",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-881-1115",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00236400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7006501",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Great Falls Foot & Ankle Center, P.A.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Great Falls Foot & Ankle Center, P.A.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tamoy Grant
• Linda M Graves, M.D.
• Steven Gravier-Leon, MD
• Jeremy S Grayson, MD
• Great Falls Dialysis LLC
• Great Falls Medical Care PC
• Great Falls Operations LLC (Great Falls HCC)
• Frank Greco Jr., DMD
• Glenn Grey, MD
• Growing in Grace Counseling Group

• Podiatrist in Paterson, NJ
• Providers in Paterson, NJ by specialty
• Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.