Podiatric Foot and Ankle Surgeon, LLC

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

License

25MD00293300 Issued in NJ

Legal business name

PODIATRIC FOOT AND ANKLE SURGEON, LLC

Practice address

380 Sutton Ave
Hackensack, NJ 07601-1829

Phone

(201) 657-2465

Fax

(201) 488-8646

NPI assigned

Dec 29, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Charles G Bahdi, DPMNPI 1609060631

Title

Owner

Phone

(201) 657-2465

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 2

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

• Charles G Bahdi, DPM

  • Foot & Ankle Surgery Podiatrist
  • Hackensack, NJ
  • NPI 1609060631
  Medicare reassignment NPD Authorized official
• Peter Yousef Hannoush, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Hackensack, NJ
  • NPI 1184760811
  NPD (past)

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

{
    "created_epoch": "1230508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230595200000",
    "number": "1871739607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 SUTTON AVE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011829",
            "telephone_number": "201-657-2465",
            "fax_number": "201-488-8646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 SUTTON AVE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011829",
            "telephone_number": "201-657-2465",
            "fax_number": "201-488-8646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PODIATRIC FOOT AND ANKLE SURGEON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-29",
        "last_updated": "2008-12-30",
        "status": "A",
        "authorized_official_last_name": "BAHDI",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-657-2465",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "NJ",
            "license": "25MD00293300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beverly Piparo, LCSW
• Rebecca Pitman
• Benjamin Planer II, M.D.
• Planned Parenthood of Northern, Central, and Southern New Jersey, Inc.
• Aviva Plittman, FNP
• Jeffrey John Podlaskowich, DNAP, CRNA
• Matthew Poland, PA-C
• Polaris Physical Medicine and Rehabilitation LLC
• Nancy Maria Polifroni, RN, APN. C
• Melvin S Polkow, MD

• Podiatric Clinic/Center in Hackensack, NJ
• Providers in Hackensack, 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 Dec 30, 2008; 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.