North Jersey Foot and Ankle Associates LLC

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

License

25MD0026400 Issued in NJ

Legal business name

NORTH JERSEY FOOT AND ANKLE ASSOCIATES LLC

Practice address

179 Cedar LN
Suite D-2
Teaneck, NJ 07666-4304

Phone

(201) 836-2663

Fax

(201) 836-5819

NPI assigned

Apr 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. John J Doolan, DPMNPI 1073540480

Title

President

Phone

(201) 836-2663

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• John J Doolan, DPM

  • Foot & Ankle Surgery Podiatrist
  • New York, NY
  • NPI 1073540480
  NPD (past) Authorized official

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1760600985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 CEDAR LN",
            "address_2": "SUITE D-2",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664304",
            "telephone_number": "201-836-2663",
            "fax_number": "201-836-5819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 CEDAR LN",
            "address_2": "SUITE D-2",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664304",
            "telephone_number": "201-836-2663",
            "fax_number": "201-836-5819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH JERSEY FOOT AND ANKLE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "DOOLAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-836-2663",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "NJ",
            "license": "25MD0026400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Podiatric Clinic/Center in Teaneck, NJ
• Providers in Teaneck, NJ by specialty
• Podiatric Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; 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.