Hackensack Center for Foot Surgery Inc

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

MD000943 Issued in NJ

Legal business name

HACKENSACK CENTER FOR FOOT SURGERY INC

Practice address

125 Prospect Ave
Hackensack, NJ 07601-2233

Phone

(201) 488-7577

Fax

(201) 488-1807

NPI assigned

Oct 31, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Morris R Morin, D.P.M.NPI 1124192323

Title

Owner

Phone

(201) 488-7577

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Morris Robert Morin, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Hackensack, NJ
  • NPI 1124192323
  Medicare reassignment NPD Authorized official
• Robert Morin, M.D.

  • Plastic Surgery Physician
  • Hackensack, NJ
  • NPI 1346415536
  NPD (past)
• Ashley H Unger

  • Physician Assistant
  • Hackensack, NJ
  • NPI 1619864881
  NPD (past)

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

{
    "created_epoch": "1225411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402876800000",
    "number": "1568615730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 PROSPECT AVE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076012233",
            "telephone_number": "201-488-7577",
            "fax_number": "201-488-1807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 PROSPECT AVE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076012233",
            "telephone_number": "201-488-7577",
            "fax_number": "201-488-1807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HACKENSACK CENTER FOR FOOT SURGERY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-31",
        "last_updated": "2014-06-16",
        "status": "A",
        "authorized_official_last_name": "MORIN",
        "authorized_official_first_name": "MORRIS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-488-7577",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "MD000943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "0844890001",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Foot & Ankle Surgery Podiatrist in Hackensack, NJ
• Providers in Hackensack, 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 Jun 16, 2014; 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.

Verify at the official NPI Registry.