Organization Active NPI

Happy and Healthy Feet LLC

  • Foot & Ankle Surgery Podiatrist
  • Haworth, NJ
National Provider Identifier
1417337932
Registry record updated Jun 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
25MD00312800 Issued in NJ
Legal business name
HAPPY AND HEALTHY FEET LLC
Practice address
57 Harrison St
Haworth, NJ 07641-1920
Phone
(917) 620-9187
NPI assigned
Jun 1, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2015

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

Authorized official

Name
Ilvira D'Atri, DPMNPI 1801167150
Title
Podiatrist
Phone
(201) 894-8861

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
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 25MD00312800 NJ Primary

Addresses

Primary practice location

57 Harrison St
Haworth, NJ 07641-1920

Mailing address

57 Harrison St
Haworth, NJ 07641-1920

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151119001562 NJ Part B Supplier - Clinic/Group Practice 0446550651 Receives reassigned benefits from 1 practitioner
Practice locations: Englewood, NJ; Haworth, NJ

National Provider Directory

National Provider Directory

Locations

214 Engle St
Ste 21
Englewood, NJ 07631
Phone (201) 894-8861

Practitioners & affiliated clinicians

Practitioners 2

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": "1433116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433116800000",
    "number": "1417337932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 HARRISON ST",
            "city": "HAWORTH",
            "state": "NJ",
            "postal_code": "076411920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 HARRISON ST",
            "city": "HAWORTH",
            "state": "NJ",
            "postal_code": "076411920",
            "telephone_number": "917-620-9187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAPPY AND HEALTHY FEET LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-01",
        "last_updated": "2015-06-01",
        "status": "A",
        "authorized_official_last_name": "D'ATRI",
        "authorized_official_first_name": "ILVIRA",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "201-894-8861",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00312800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haworth, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2015; 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.