Palisades Park Podiatry PC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

PALISADES PARK PODIATRY PC

Doing business as

Choice Podiatry of NJ

Practice address

2225 Lemoine Ave FL 1
Fort Lee, NJ 07024-6104

Phone

(347) 997-0485

Fax

(718) 599-3366

NPI assigned

May 14, 2020

Organization subpart

No

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

Authorized official

Name

Jong Won Choi, DPM

Title

DPM/Owner

Phone

(347) 997-0485

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Choice Podiatry of NJ Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1589414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609977600000",
    "number": "1255953022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 RACHEL AVE",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117253310",
            "telephone_number": "347-997-0485",
            "fax_number": "718-599-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 LEMOINE AVE FL 1",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070246104",
            "telephone_number": "347-997-0485",
            "fax_number": "718-599-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALISADES PARK PODIATRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-14",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A",
        "authorized_official_last_name": "CHOI",
        "authorized_official_first_name": "JONG WON",
        "authorized_official_title_or_position": "DPM/OWNER",
        "authorized_official_telephone_number": "347-997-0485",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "25MD00350800",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "sam@altumed.com",
            "affiliation": "N",
            "address_1": "2225 Lemoine Ave Fl 1",
            "city": "Fort Lee",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070246104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Choice Podiatry of NJ",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Choice Podiatry of NJ",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Elizabeth Palughi
• Chang S Park, M.D.
• Clara Park, DDS

• Foot & Ankle Surgery Podiatrist in Fort Lee, NJ
• Providers in Fort Lee, NJ by specialty
• Foot & Ankle Surgery Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2021; 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.