Fair Lawn Advanced Footcare PC

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

License

25MD00306300 Issued in NJ

Legal business name

FAIR LAWN ADVANCED FOOTCARE PC

Practice address

15-01 Pollitt Dr
Suite 8B
Fair Lawn, NJ 07410-2769

Phone

(212) 486-7333

Fax

(212) 486-7555

NPI assigned

Sep 14, 2011

Last updated

Sep 14, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jordan Drucker, DPM

Title

Owner

Phone

(212) 486-7333

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1315958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315958400000",
    "number": "1184906323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15-01 POLLITT DR",
            "address_2": "SUITE 8B",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074102769",
            "telephone_number": "212-486-7333",
            "fax_number": "212-486-7555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15-01 POLLITT DR",
            "address_2": "SUITE 8B",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074102769",
            "telephone_number": "212-486-7333",
            "fax_number": "212-486-7555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIR LAWN ADVANCED FOOTCARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-14",
        "last_updated": "2011-09-14",
        "status": "A",
        "authorized_official_last_name": "DRUCKER",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-486-7333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "NJ",
            "license": "25MD00306300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sabrina Grace Estevez, DPT
• Elena L Estrin, LAC
• Lauren Marie Ettore, OTR/L
• Tiffany Evangelou
• Everside Health-Fair Lawn Health Center (Marathon Health, Fair Lawn NJ)
• Fair Lawn Anesthesia Associates, LLC
• Fair Lawn ASC LLC
• Fair Lawn Behavioral Health, LLC
• Fair Lawn Chiropractic Clinic PA
• Fair Lawn Chiropractic Therapy LLC

• Podiatric Clinic/Center in Fair Lawn, NJ
• Providers in Fair Lawn, NJ by specialty
• Podiatric Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.