Organization Active NPI

Foot & Ankle Therapy PC

  • Podiatrist
  • Hackensack, NJ
National Provider Identifier
1306901939
Registry record updated Jan 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
FOOT & ANKLE THERAPY PC
Practice address
Suite 803
20 Prospect Avenue
Hackensack, NJ 07601-1999
Phone
(201) 488-5050
Fax
(201) 488-9292
NPI assigned
Dec 26, 2006
Last updated
Jan 9, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2021

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

Authorized official

Name
Dr. Edward I Harris, D.P.M.
Title
President
Phone
(201) 488-5050

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NJ
Podiatrist 213E00000X NJ Primary

Addresses

Primary practice location

Suite 803
20 Prospect Avenue
Hackensack, NJ 07601-1999

Mailing address

Suite 803
20 Prospect Avenue
Hackensack, NJ 07601-1999
Phone (201) 488-5050

National Provider Directory

National Provider Directory

Locations

1625 Anderson Ave
Ste 1
Fort Lee, NJ 07024
Phone (201) 224-5790

NPI Registry JSON

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610150400000",
    "number": "1306901939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SUITE 803",
            "address_2": "20 PROSPECT AVENUE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011999",
            "telephone_number": "201-488-5050",
            "fax_number": "201-488-9292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SUITE 803",
            "address_2": "20 PROSPECT AVENUE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011999",
            "telephone_number": "201-488-5050",
            "fax_number": "201-488-9292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT & ANKLE THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2021-01-09",
        "certification_date": "2021-01-09",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-488-5050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NJ",
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.