Organization Active NPI

Citi Wide Podiatry PC

  • Foot & Ankle Surgery Podiatrist
  • Jersey City, NJ
National Provider Identifier
1447516737
Registry record updated Jan 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
006361 Issued in NY
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, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2021

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

Authorized official

Name
Dr. Asima Rafiq Chaudhry, DPMNPI 1497073258
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1497073258MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.