Organization Active NPI

Good Align Foot and Ankle LLC

  • Podiatric Clinic/Center
  • Fort Lee, NJ
National Provider Identifier
1841846813
Registry record updated Aug 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
Legal business name
GOOD ALIGN FOOT AND ANKLE LLC
Practice address
1618 Parker Ave FL 1
Fort Lee, NJ 07024-6927
Phone
(201) 281-5224
NPI assigned
Aug 14, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2019

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

Authorized official

Name
Jiyong Jeon, DPMNPI 1780024406
Title
President/DPM
Phone
(201) 281-5224

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X Primary

Addresses

Primary practice location

1618 Parker Ave FL 1
Fort Lee, NJ 07024-6927

Mailing address

1618 Parker Ave FL 1
Fort Lee, NJ 07024-6927
Phone (201) 281-5224

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191112001768 NJ Part B Supplier - Clinic/Group Practice 3274965322 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Lee, NJ

National Provider Directory

National Provider Directory

Locations

1618 Parker Ave
#1
Fort Lee, NJ 07024
Phone (201) 281-5224

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1565740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565740800000",
    "number": "1841846813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1618 PARKER AVE FL 1",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070246927",
            "telephone_number": "201-281-5224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1618 PARKER AVE FL 1",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070246927",
            "telephone_number": "201-281-5224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD ALIGN FOOT AND ANKLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-14",
        "last_updated": "2019-08-14",
        "status": "A",
        "authorized_official_last_name": "JEON",
        "authorized_official_first_name": "JIYONG",
        "authorized_official_title_or_position": "PRESIDENT/DPM",
        "authorized_official_telephone_number": "201-281-5224",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lee, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2019; 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.