NPIMap

Organization Active NPI

Advance Ankle, Foot and Pain

  • Neurology Physician
  • Clifton, NJ
National Provider Identifier
1467736207
Registry record updated Sep 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
ADVANCE ANKLE, FOOT AND PAIN
Practice address
1084 Main Ave
Clifton, NJ 07011-2330
Phone
(973) 473-4040
Fax
(973) 472-2451
NPI assigned
Sep 28, 2011
Last updated
Sep 28, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2011

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

Authorized official

Name
Mirza Beg
Title
Members/Managers
Phone
(973) 473-4040

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X NJ
Neurology Chiropractor 111NN0400X NJ
Specialist 174400000X NJ
Neurology Physician 2084N0400X NJ Primary
Pain Medicine Physician 208VP0000X NJ

Addresses

Primary practice location

1084 Main Ave
Clifton, NJ 07011-2330

Mailing address

1084 Main Ave
Clifton, NJ 07011-2330
Phone (973) 473-4040

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1317168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317168000000",
    "number": "1467736207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1084 MAIN AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112330",
            "telephone_number": "973-473-4040",
            "fax_number": "973-472-2451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1084 MAIN AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112330",
            "telephone_number": "973-473-4040",
            "fax_number": "973-472-2451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE ANKLE, FOOT AND PAIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-28",
        "last_updated": "2011-09-28",
        "status": "A",
        "authorized_official_last_name": "BEG",
        "authorized_official_first_name": "MIRZA",
        "authorized_official_title_or_position": "MEMBERS/MANAGERS",
        "authorized_official_telephone_number": "973-473-4040"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NJ",
            "license": null,
            "primary": false
        },
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "NJ",
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NJ",
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NJ",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2011; 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.