Active NPI
Sports Foot and Ankle Center PC
- Podiatric Clinic/Center
- River Edge, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatric Clinic/Center
- Legal business name
- SPORTS FOOT AND ANKLE CENTER PC
- Practice address
- 117 Kinderkamack Rd Ste 101
River Edge, NJ 07661-1916 - Phone
- (347) 251-4497
- NPI assigned
- May 22, 2024
- Last updated
- May 22, 2024
- 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. Einul Chowdhury, DPM
- Title
- Owner
- Phone
- (832) 252-9286
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatric Clinic/Center | 261QP1100X | Primary |
Addresses
Primary practice location
117 Kinderkamack Rd Ste 101
River Edge, NJ 07661-1916
Mailing address
63 Howland Ave Apt D
River Edge, NJ 07661-1882
Other practice location 1
63 Howland Ave Apt D
River Edge, NJ 07661-1882
Phone (347) 251-4497
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
117 Kinderkamack Rd
Ste 101
River Edge, NJ 07661
Phone (347) 251-4497
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": "1716336000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1716336000000",
"number": "1477392223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "63 HOWLAND AVE APT D",
"city": "RIVER EDGE",
"state": "NJ",
"postal_code": "076611882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 KINDERKAMACK RD STE 101",
"city": "RIVER EDGE",
"state": "NJ",
"postal_code": "076611916",
"telephone_number": "347-251-4497"
}
],
"practiceLocations": [
{
"address_1": "63 Howland Ave Apt D",
"address_purpose": "LOCATION",
"city": "River Edge",
"state": "NJ",
"postal_code": "076611882",
"country_code": "US",
"telephone_number": "347-251-4497",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "SPORTS FOOT AND ANKLE CENTER PC",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-22",
"last_updated": "2024-05-22",
"certification_date": "2024-05-22",
"status": "A",
"authorized_official_last_name": "CHOWDHURY",
"authorized_official_first_name": "EINUL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "832-252-9286",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "261QP1100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Podiatric",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in River Edge, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.