Organization Active NPI

Institute of Foot & Ankle Medicine,PC.

  • Podiatrist
  • Paterson, NJ
National Provider Identifier
1952469413
Registry record updated Sep 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
INSTITUTE OF FOOT & ANKLE MEDICINE,PC.
Practice address
628 Broadway
Paterson, NJ 07514-1918
Phone
(973) 278-8001
Fax
(973) 742-6793
NPI assigned
Dec 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2012

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

Authorized official

Name
Dr. Anthony J Enrico
Title
Owner
Phone
(973) 278-8001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

628 Broadway
Paterson, NJ 07514-1918

Mailing address

628 Broadway
Paterson, NJ 07514-1918
Phone (973) 278-8001

Other identifiers 1

IdentifierTypeStateIssuer
0077046MedicaidNJ

National Provider Directory

National Provider Directory

Locations

62 Central Ave
Passaic, NJ 07055
Phone (973) 278-8001

628 Broadway
Paterson, NJ 07514
Phone (973) 222-5107

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347840000000",
    "number": "1952469413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "628 BROADWAY",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075141918",
            "telephone_number": "973-278-8001",
            "fax_number": "973-742-6793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 BROADWAY",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075141918",
            "telephone_number": "973-278-8001",
            "fax_number": "973-742-6793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUTE OF FOOT & ANKLE MEDICINE,PC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2012-09-17",
        "status": "A",
        "authorized_official_last_name": "ENRICO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-278-8001",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0077046",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paterson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2012; 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.