Organization Active NPI

Dr. Michael Subik LLC

  • Foot & Ankle Surgery Podiatrist
  • Lyndhurst, NJ
National Provider Identifier
1144593914
Registry record updated Apr 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
MD002524 Issued in NJ
Legal business name
DR. MICHAEL SUBIK LLC
Practice address
160 Ridge Rd
First Floor
Lyndhurst, NJ 07071-1253
Phone
(201) 939-9098
Fax
(201) 939-5614
NPI assigned
Feb 9, 2012
Last updated
Apr 10, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2023

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

Authorized official

Name
Dr. Michael Subik, DPMNPI 1003813551
Title
Provider
Phone
(201) 939-9098

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X MD002524 NJ Primary

Addresses

Primary practice location

160 Ridge Rd
First Floor
Lyndhurst, NJ 07071-1253

Mailing address

160 Ridge Rd
Lyndhurst, NJ 07071-1253
Phone (201) 939-9098

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120411000668 NJ Part B Supplier - Clinic/Group Practice 5395906796 Receives reassigned benefits from 1 practitioner
Practice locations: Lyndhurst, NJ

National Provider Directory

National Provider Directory

Locations

160 Ridge Rd
Fl 1
Lyndhurst, NJ 07071
Phone (201) 939-9098

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1328745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681084800000",
    "number": "1144593914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 RIDGE RD",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070711253",
            "telephone_number": "201-939-9098",
            "fax_number": "201-939-5614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 RIDGE RD",
            "address_2": "FIRST FLOOR",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070711253",
            "telephone_number": "201-939-9098",
            "fax_number": "201-939-5614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MICHAEL SUBIK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-09",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A",
        "authorized_official_last_name": "SUBIK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "201-939-9098",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "MD002524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lyndhurst, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2023; 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.