Affiliated Foot & Ankle Spec of Teaneck

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

25MD00120300 Issued in NJ

Legal business name

AFFILIATED FOOT & ANKLE SPEC OF TEANECK

Practice address

751 Teaneck Rd
1St Floor
Teaneck, NJ 07666-0000

Phone

(201) 238-1595

Fax

(201) 221-8762

NPI assigned

Feb 9, 2009

Last updated

Feb 9, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Miller, DPM

Title

Owner

Phone

(201) 238-1595

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1234137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234137600000",
    "number": "1538308952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 TEANECK RD",
            "address_2": "1ST FLOOR",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076660000",
            "telephone_number": "201-238-1595",
            "fax_number": "201-221-8762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 TEANECK RD",
            "address_2": "1ST FLOOR",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076660000",
            "telephone_number": "201-238-1595",
            "fax_number": "201-221-8762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFILIATED FOOT & ANKLE SPEC OF TEANECK",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-09",
        "last_updated": "2009-02-09",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-238-1595",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00120300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Foot & Ankle Surgery Podiatrist in Teaneck, NJ
• Providers in Teaneck, 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 Feb 9, 2009; 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.