Active NPI
Foot & Ankle Associates of Wyckoff
- Foot & Ankle Surgery Podiatrist
- Wyckoff, NJ
National Provider Identifier
1306001466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- MB02125
- Legal business name
- FOOT & ANKLE ASSOCIATES OF WYCKOFF
- Practice address
- 350 Franklin Ave Ste 2
Wyckoff, NJ 07481-1909 - Phone
- (201) 891-4930
- Fax
- (201) 891-4715
- NPI assigned
- Jul 28, 2008
- Last updated
- Mar 25, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Edward Richard Nieuwenhuis, DPM
- Title
- Podiatrist
- Phone
- (201) 891-4930
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | MB02125 | NJ | Primary |
Addresses
Primary practice location
350 Franklin Ave Ste 2
Wyckoff, NJ 07481-1909
Mailing address
350 Franklin Ave
Suite 2
Wyckoff, NJ 07481-1909
Phone (201) 891-4930
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
350 Franklin Ave
#2
Wyckoff, NJ 07481
Phone (201) 891-4930
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Foot & Ankle Surgery Podiatrist
- Wyckoff, NJ
- NPI 1477573541
-
- Foot & Ankle Surgery Podiatrist
- Ridgewood, NJ
- NPI 1174880603
-
- Podiatrist
- East Rutherford, NJ
- NPI 1912404237
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217203200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1553472000000",
"number": "1306001466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 FRANKLIN AVE",
"address_2": "SUITE 2",
"city": "WYCKOFF",
"state": "NJ",
"postal_code": "074811909",
"telephone_number": "201-891-4930",
"fax_number": "201-891-4715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 FRANKLIN AVE STE 2",
"city": "WYCKOFF",
"state": "NJ",
"postal_code": "074811909",
"telephone_number": "201-891-4930",
"fax_number": "201-891-4715"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOOT & ANKLE ASSOCIATES OF WYCKOFF",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-28",
"last_updated": "2019-03-25",
"status": "A",
"authorized_official_last_name": "NIEUWENHUIS",
"authorized_official_first_name": "EDWARD",
"authorized_official_middle_name": "RICHARD",
"authorized_official_title_or_position": "PODIATRIST",
"authorized_official_telephone_number": "201-891-4930",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NJ",
"license": "MB02125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wyckoff, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.