Individual provider Active NPI

Paul Anthony Foddai, M.D.

  • Orthopaedic Surgery Physician
  • Jersey City, NJ
National Provider Identifier
1457443103
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
25MA03814700 Issued in NJ
Practice address
142 Palisade Ave
Suite 220
Jersey City, NJ 07306-1133
Phone
(201) 795-0904
Fax
(201) 795-3450
NPI assigned
Sep 29, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 25MA03814700 NJ Primary

Addresses

Primary practice location

142 Palisade Ave
Suite 220
Jersey City, NJ 07306-1133

Mailing address

142 Palisade Ave
Suite 220
Jersey City, NJ 07306-1133
Phone (201) 795-0904

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA03814700NJMDOrthopaedic Surgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457443103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 PALISADE AVE",
            "address_2": "SUITE 220",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073061133",
            "telephone_number": "201-795-0904",
            "fax_number": "201-795-3450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 PALISADE AVE",
            "address_2": "SUITE 220",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073061133",
            "telephone_number": "201-795-0904",
            "fax_number": "201-795-3450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FODDAI",
        "first_name": "PAUL",
        "middle_name": "ANTHONY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NJ",
            "license": "25MA03814700",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 8, 2007; 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.