Foot and Ankle Health Center of Bloomfield LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

FOOT AND ANKLE HEALTH CENTER OF BLOOMFIELD LLC

Practice address

667 Eagle Rock Ave Ste B
West Orange, NJ 07052-2177

Phone

(973) 736-4030

NPI assigned

Dec 2, 2025

Last updated

Dec 3, 2025By 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

Charles Lee, DPMNPI 1497044986

Title

Podiatrist

Phone

(201) 463-0240

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

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.

• Charles Lee, D.P.M.

  • Podiatrist
  • Bloomfield, NJ
  • NPI 1497044986
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1764633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764720000000",
    "number": "1649132234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 TOM HUNTER RD",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070244608",
            "telephone_number": "201-463-0240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "667 EAGLE ROCK AVE STE B",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522177",
            "telephone_number": "973-736-4030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT AND ANKLE HEALTH CENTER OF BLOOMFIELD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-02",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "201-463-0240",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wislande Fleurissant
• Estella Flezinord
• Jeff Flyer, P.T.
• Sharon Flynn, RD
• Nikita Fonarev
• Foot Care 2 You Inc
• Forge Medical Group, LLC (Forge Health)
• Form Physical Therapy LLC
• Mark Howard Forman, MD
• Forman&Hertz,M.D.L.L.C.

• Podiatrist in West Orange, NJ
• Providers in West Orange, NJ by specialty
• Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2025; 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.