Active NPI
Citi Wide Podiatry PC
- Foot & Ankle Surgery Podiatrist
- Jersey City, NJ
National Provider Identifier
1447516737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 006361
- Legal business name
- CITI WIDE PODIATRY PC
- Practice address
- 2727 Kennedy Blvd
Jersey City, NJ 07306-5507 - Phone
- (201) 333-2700
- Fax
- (212) 996-5562
- NPI assigned
- Apr 11, 2012
- Last updated
- Jan 20, 2021
- 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. Asima Rafiq Chaudhry, DPM
- Title
- Podiatrist
- Phone
- (201) 315-4168
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 006361 | NY | Primary |
Addresses
Primary practice location
2727 Kennedy Blvd
Jersey City, NJ 07306-5507
Mailing address
2727 Kennedy Blvd
Jersey City, NJ 07306-5507
Phone (201) 333-2700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497073258 | Medicaid | NY |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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
- Bronx, NY
- NPI 1497073258
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334102400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1611100800000",
"number": "1447516737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2727 KENNEDY BLVD",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073065507",
"telephone_number": "201-333-2700",
"fax_number": "212-996-5562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2727 KENNEDY BLVD",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073065507",
"telephone_number": "201-333-2700",
"fax_number": "212-996-5562"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITI WIDE PODIATRY PC",
"organizational_subpart": "NO",
"enumeration_date": "2012-04-11",
"last_updated": "2021-01-20",
"certification_date": "2021-01-20",
"status": "A",
"authorized_official_last_name": "CHAUDHRY",
"authorized_official_first_name": "ASIMA",
"authorized_official_middle_name": "RAFIQ",
"authorized_official_title_or_position": "PODIATRIST",
"authorized_official_telephone_number": "201-315-4168",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NY",
"license": "006361",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1497073258",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jersey City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.