Active NPI
Hackensack Quality Foot Care, P.a.
- Foot & Ankle Surgery Podiatrist
- Hackensack, NJ
National Provider Identifier
1407943640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- MD02077
- Legal business name
- HACKENSACK QUALITY FOOT CARE, P.A.
- Practice address
- 50 Clinton PL
Hackensack, NJ 07601-4579 - Phone
- (201) 487-4443
- Fax
- (201) 487-0065
- NPI assigned
- Oct 9, 2006
- 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
- Dr. Marc Bozzetti, DPM
- Title
- Partner/Vice President
- Phone
- (201) 487-4443
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | MD02077 | NJ | Primary |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | MD001801 | NJ |
Addresses
Primary practice location
50 Clinton PL
Hackensack, NJ 07601-4579
Mailing address
50 Clinton PL
Hackensack, NJ 07601-4579
Phone (201) 487-4443
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6775900 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
170 Prospect Ave
Ste 3
Hackensack, NJ 07601
Phone (201) 487-4443
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Hackensack, NJ
- NPI 1447349451
-
- Foot & Ankle Surgery Podiatrist
- Hawthorne, NJ
- NPI 1245329218
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160352000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1407943640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 CLINTON PL",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076014579",
"telephone_number": "201-487-4443",
"fax_number": "201-487-0065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 CLINTON PL",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076014579",
"telephone_number": "201-487-4443",
"fax_number": "201-487-0065"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HACKENSACK QUALITY FOOT CARE, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-09",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BOZZETTI",
"authorized_official_first_name": "MARC",
"authorized_official_title_or_position": "PARTNER/VICE PRESIDENT",
"authorized_official_telephone_number": "201-487-4443",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NJ",
"license": "MD02077",
"primary": true
},
{
"code": "213ES0103X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NJ",
"license": "MD001801",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6775900",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hackensack, NJ
- Hackensack Pharmacy Inc (Hackensack Pharmacy)
- Hackensack Physical Therapy, Inc.
- Hackensack Physicians Group LLC
- Hackensack Primary Care PA (North Jersey Urgent Care)
- Hackensack Psychiatric Group LLC
- Hackensack Radiation Therapy LLC
- Hackensack Radiology Center LLC (Affinity Radiology)
- Hackensack Radiology Group PA
- Hackensack Rehab Inc
- Hackensack Rheumatology LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.