INNOVATIVE FOOT AND ANKLE, P.A. (NPI# 1023177532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023177532 |
| Entity Type | Organization |
| Organization Name | INNOVATIVE FOOT AND ANKLE, P.A. |
| Other Organization Name | DANIEL BRANDWEIN DPM AND SEAN KAUFMAN DPM |
| Practice Address |
528 Boulevard Kenilworth NJ 07033-1657 |
| Practice Telephone | 9082766624 |
| Practice Fax Number | 9087090163 |
| Mailing Telephone | 9082766624 |
| Mailing Fax Number | 9087090163 |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2018-01-10 |
| Authorized Official Name | DR. SEAN L KAUFMAN (OWNER) |
| Authorized Official Telephone | 9082766624 |
| Authorized Official Credential | D.P.M. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
25MD00261900 | NJ | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 8719501 | 05 |
| Other Name | Type Code |
|---|---|
| Daniel Brandwein DPM and Sean Kaufman DPM | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376079582 | Innovative Foot and Ankle, P.a. | Podiatrist | 877 Broadway, Bayonne, NJ 07002-3197 | 2017-05-08 |
| 1861922320 | Innovative Foot and Ankle, P.a. | Podiatrist | 119 Grove St, Montclair, NJ 07042-4044 | 2017-06-18 |
| 1245760701 | Innovative Foot and Ankle, P.a. | Podiatrist | 274 Main St, Little Ferry, NJ 07643-1346 | 2017-06-18 |
| Street Address |
528 BOULEVARD |
| City | KENILWORTH |
| State | NJ |
| Zip Code | 07033-1657 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821091018 | Sean L. Kaufman | Podiatrist | 528 Boulevard, Kenilworth, NJ 07033-1657 | 2005-05-23 |
| 1366058216 | Leigha Tate Jarzombek | Physical Therapist | 528 Boulevard, Kenilworth, NJ 07033-1657 | 2020-09-16 |
| 1922498757 | New York Bone and Joint Specialists of Nj, LLC | Specialist | 528 Boulevard, Kenilworth, NJ 07033-1657 | 2015-02-02 |
| 1639417363 | Vasiliki Rallatos-drake | Physical Therapist | 528 Boulevard, Kenilworth, NJ 07033-1657 | 2013-01-31 |
| 1962431445 | Michael Rallatos | Podiatrist | 528 Boulevard, Kenilworth, NJ 07033-1657 | 2006-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396112231 | Acme Markets Inc | Durable Medical Equipment & Medical Supplies | 801 Kenilworth Blvd, Kenilworth, NJ 07033 | 2015-08-26 |
| 1235480484 | Yesenia Fermin | Social Worker | 525 Boulevard Suite 2, Suite 2, Kenilworth, NJ 07033 | 2012-09-27 |
| 1255467064 | Afzaal Ahmad Siddiqui | Anesthesiology | Garden State Endoscopy & Surgery Center, 1700 Galloping Hill Road, Kenilworth, NJ 07033 | 2007-02-26 |
| 1497894059 | Paul Morabito | Pharmacist | 21 North 20th Street, Morabitos Pharmacy, Kenilworth, NJ 07033 | 2007-02-06 |
| 1780747394 | Morris Avenue Endoscopy LLC | Clinic/Center | #1700 Galloping Hill Rd, Kenilworth, NJ 07033 | 2006-12-18 |
| 1477641363 | Lois G Fiore | Optometrist | 505 Boulevard, Kenilworth, NJ 07033 | 2006-10-10 |
| 1518058189 | Glenn W Koechling Dds | Dentist | 17 North 18th Street, Kenilworth, NJ 07033 | 2006-09-27 |
| 1992344766 | Zisi Monheit | Pharmacist | 312 Glenwood Avenue, Bloomfield, NJ 07033 | 2019-12-27 |
| 1730491812 | Ahmad Kazemi Md Pa | General Practice | 562 Boulevard, Kenilworth, NJ 07033 | 2010-07-06 |
| 1942330006 | Dominick Morabito | Pharmacist | 21 N 20th St, Kenilworth, NJ 07033 | 2007-03-07 |
| Find all providers in zip 07033 | ||||
| Taxonomy Code | 213EP1101X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Primary Podiatric Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821091018 | Sean L. Kaufman | Podiatrist | 528 Boulevard, Kenilworth, NJ 07033-1657 | 2005-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780296731 | Clinical Health Care Associates of New Jersey PC | Podiatrist | 5000 Dearborn Cir, Mount Laurel, NJ 08054-4108 | 2020-08-20 |
| 1144788183 | Hudson Ortho Group | Podiatrist | 444 Market St Ste 2a, Saddle Brook, NJ 07663-5996 | 2019-03-08 |
| 1134684970 | Hudson Ortho Group | Podiatrist | 1320 Adams St Ste E, Hoboken, NJ 07030-2370 | 2019-02-06 |
| 1629551908 | Jonathan Roy Dpm PC | Podiatrist | 140 N Rte 17 Ste 103, Paramus, NJ 07652-2809 | 2018-09-12 |
| 1881186641 | Wayne J Caputo Dpm | Podiatrist | 5 S Franklin Avenue, Belleville, NJ 07109 | 2018-06-06 |
| 1720517360 | North Plainfield Podiatry | Podiatrist | 654 Mount Prospect Ave # 301, Newark, NJ 07104-3110 | 2017-06-07 |
| 1366844870 | Urwah Haq | Podiatrist | 1529 Route 206 Ste L, Tabernacle, NJ 08088-8801 | 2014-09-16 |
| 1023372653 | Alicia Lai | Podiatrist | 3003 English Creek Ave Ste C5, Egg Harbor Township, NJ 08234-4818 | 2012-06-28 |
| 1073825535 | Rhonda Lynn Hazell | Podiatrist | 900 Pear St, Cinnaminson, NJ 08077-1922 | 2010-07-12 |
| 1497988737 | Podiatry House Calls, LLC | Podiatrist | 225 N Gladstone Ave, Margate City, NJ 08402-1705 | 2009-09-03 |
| Find all providers with the same taxonomy | ||||
| City | KENILWORTH |
| Zip Code | 07033 |
Please comment or provide details below to improve the information on INNOVATIVE FOOT AND ANKLE, P.A..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.