Diabetic Foot & Ankle Centers of NJ LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

DIABETIC FOOT & ANKLE CENTERS OF NJ LLC

Practice address

667 Eagle Rock Ave
West Orange, NJ 07052-2177

Phone

(973) 736-4030

NPI assigned

Jan 14, 2016

Last updated

Jan 14, 2016By 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

Simon Becker, DPMNPI 1982605697

Title

Doctor

Phone

(973) 736-4030

Specialties & licenses 1

Addresses

Other identifiers 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.

• Simon Becker, DPM

  • Podiatrist
  • West Orange, NJ
  • NPI 1982605697
  Authorized official Same address or phone

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

{
    "created_epoch": "1452729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452729600000",
    "number": "1669838033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "667 EAGLE ROCK AVE",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522177",
            "telephone_number": "973-736-4030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "667 EAGLE ROCK AVE",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522177",
            "telephone_number": "973-736-4030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETIC FOOT & ANKLE CENTERS OF NJ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-14",
        "last_updated": "2016-01-14",
        "status": "A",
        "authorized_official_last_name": "BECKER",
        "authorized_official_first_name": "SIMON",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "973-736-4030",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6702805",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Solande Destin, PMHN-BC
• Claudine Destine, APRN
• Developmental Disabilities Association of NJ Inc.
• Pooja Devi, MD
• Yeshuschandra R Dhaibar, MD
• Diagnostic & Clinical Cardiology, PA
• Dialysis Center of West Orange LLC
• Ozzie Alexander Diaz, MS, ATC
• Erik Dienna, M.D.
• Simon E Dike

• Foot & Ankle Surgery Podiatrist in West Orange, NJ
• Providers in West Orange, 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 Jan 14, 2016; 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.