Organization Active NPI

Lyndhurst Podiatry, P.C.

  • Podiatrist
  • Lyndhurst, NJ
National Provider Identifier
1225151509
Registry record updated Mar 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
25MD2324 Issued in NJ
Legal business name
LYNDHURST PODIATRY, P.C.
Practice address
737 Ridge Rd
Lyndhurst, NJ 07071-3215
Phone
(201) 939-5877
Fax
(201) 939-5115
NPI assigned
Apr 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2008

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

Authorized official

Name
Dr. Robert L. Briganti Jr., D.P.M.NPI 1740303023
Title
President
Phone
(201) 939-5877

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
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 25MD2324 NJ Primary

Addresses

Primary practice location

737 Ridge Rd
Lyndhurst, NJ 07071-3215

Mailing address

737 Ridge Rd
Lyndhurst, NJ 07071-3215
Phone (201) 939-5877

Other identifiers 1

IdentifierTypeStateIssuer
7027401MedicaidNJ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130702000005 NJ Part B Supplier - Clinic/Group Practice 4789705450 Receives reassigned benefits from 1 practitioner
Practice locations: Lyndhurst, NJ

National Provider Directory

National Provider Directory

Locations

737 Ridge Rd
Lyndhurst, NJ 07071
Phone (201) 939-5877

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206662400000",
    "number": "1225151509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "737 RIDGE RD",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070713215",
            "telephone_number": "201-939-5877",
            "fax_number": "201-939-5115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "737 RIDGE RD",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070713215",
            "telephone_number": "201-939-5877",
            "fax_number": "201-939-5115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNDHURST PODIATRY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2008-03-28",
        "status": "A",
        "authorized_official_last_name": "BRIGANTI",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-939-5877",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD2324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7027401",
            "state": "NJ"
        }
    ],
    "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 Mar 28, 2008; 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.