Organization Active NPI

Foot and Ankle Institute of Edison LLC

  • Durable Medical Equipment & Medical Supplies
  • Edison, NJ
National Provider Identifier
1619225661
Registry record updated Nov 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
25MD00289700 Issued in NJ
Legal business name
FOOT AND ANKLE INSTITUTE OF EDISON LLC
Practice address
2163 Oak Tree Rd Ste 108
Edison, NJ 08820-1083
Phone
(732) 662-3050
Fax
(732) 662-3049
NPI assigned
Aug 23, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2012

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

Authorized official

Name
Varun B Gujral, DPM
Title
Owner
Phone
(732) 662-3050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 25MD00289700 NJ Primary

Addresses

Primary practice location

2163 Oak Tree Rd Ste 108
Edison, NJ 08820-1083

Mailing address

2163 Oak Tree Rd Ste 108
Edison, NJ 08820-1083
Phone (732) 662-3050

Other names 1

  • Affiliated Foot and Ankle Care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1345680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354233600000",
    "number": "1619225661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2163 OAK TREE RD STE 108",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088201083",
            "telephone_number": "732-662-3050",
            "fax_number": "732-662-3049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2163 OAK TREE RD STE 108",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088201083",
            "telephone_number": "732-662-3050",
            "fax_number": "732-662-3049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT AND ANKLE INSTITUTE OF EDISON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-23",
        "last_updated": "2012-11-30",
        "status": "A",
        "authorized_official_last_name": "GUJRAL",
        "authorized_official_first_name": "VARUN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-662-3050",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NJ",
            "license": "25MD00289700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Affiliated Foot and Ankle Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2012; 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.