Podiatry Associates of New Jersey LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

25MD00227300 Issued in NJ

Legal business name

PODIATRY ASSOCIATES OF NEW JERSEY LLC

Practice address

309 Rock Ave
Green Brook, NJ 08812-2616

Phone

(973) 837-6352

NPI assigned

Sep 29, 2015

Organization subpart

No

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

Authorized official

Name

Henry Borrelli, DPMNPI 1902839830

Title

President

Phone

(973) 837-6352

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

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.

• Henry Borrelli, DPM

  • Podiatrist
  • Green Brook, NJ
  • NPI 1902839830
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1443484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443484800000",
    "number": "1730559196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 PROSPECT ST",
            "city": "LITTLE FALLS",
            "state": "NJ",
            "postal_code": "074241544",
            "telephone_number": "973-837-6352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 ROCK AVE",
            "city": "GREEN BROOK",
            "state": "NJ",
            "postal_code": "088122616",
            "telephone_number": "973-837-6352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PODIATRY ASSOCIATES OF NEW JERSEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-29",
        "last_updated": "2015-09-29",
        "status": "A",
        "authorized_official_last_name": "BORRELLI",
        "authorized_official_first_name": "HENRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-837-6352",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00227300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis Petrini, DMD
• Physician's Weightloss, PC (Medi-Weightloss)
• Marissa Bari Pilitzer, PA-C
• John Dominick Pilla, MD
• Israel R Plasner, O.D.
• Paul J Popeck, DO
• Precious Orthotic & Diabetic Foot Wear, LLC
• Nitchelle Predvil, MS,OTR/L
• Prowise Dental Group LLC
• Ellen Rado, D.D.S

• Podiatrist in Green Brook, NJ
• Providers in Green Brook, NJ by specialty
• Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2015; 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.