Foot Care of New Jersey LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

FOOT CARE OF NEW JERSEY LLC

Practice address

835 Roosevelt Ave
Carteret, NJ 07008-1815

Phone

(908) 652-6077

NPI assigned

Nov 21, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Aqsa Siddiqui, DPM

Title

MD

Phone

(201) 349-3432

Specialties & licenses 1

Addresses

Other names 1

• FOOT CARE OF NEW JERSEY LLC Doing business as

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

{
    "created_epoch": "1574294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602201600000",
    "number": "1447896709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 BRISTOL STATION CT",
            "city": "CARTERET",
            "state": "NJ",
            "postal_code": "070083085",
            "telephone_number": "732-993-5040",
            "fax_number": "732-587-5486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 ROOSEVELT AVE",
            "city": "CARTERET",
            "state": "NJ",
            "postal_code": "070081815",
            "telephone_number": "908-652-6077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "616 Amboy Ave",
            "address_purpose": "LOCATION",
            "city": "Woodbridge",
            "state": "NJ",
            "postal_code": "070953164",
            "country_code": "US",
            "telephone_number": "908-652-6077",
            "fax_number": "866-801-6809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FOOT CARE OF NEW JERSEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-21",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A",
        "authorized_official_last_name": "SIDDIQUI",
        "authorized_official_first_name": "AQSA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "201-349-3432",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FOOT CARE OF NEW JERSEY LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FOOT CARE OF NEW JERSEY LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Foot & Ankle Surgery Podiatrist in Carteret, NJ
• Providers in Carteret, NJ by specialty
• Foot & Ankle Surgery Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2020; 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.