ADVANCED FOOT & ANKLE CENTER INC. (NPI# 1518268499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518268499 |
| Entity Type | Organization |
| Organization Name | ADVANCED FOOT & ANKLE CENTER INC. |
| Practice Address |
1060 Broad St Newark NJ 07102-2397 |
| Mailing Address |
10 Victoria Dr Somerset NJ 08873-4602 |
| Practice Telephone | 9739063344 |
| Practice Fax Number | 9737412700 |
| Mailing Telephone | 9739063344 |
| Enumeration Date | 2010-11-09 |
| Last Update Date | 2012-10-02 |
| Authorized Official Name | DR. VIKAS BAWA (OWNER) |
| Authorized Official Telephone | 9739063344 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
25MD00260200 | NJ | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 8560005 | 05 |
| Street Address |
1060 BROAD ST |
| City | NEWARK |
| State | NJ |
| Zip Code | 07102-2397 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356378434 | Rajan S Shah | Internal Medicine | 1060 Broad St, Newark, NJ 07102 | 2006-06-26 |
| 1275167967 | Pain Vein & Aesthetics Mgmt LLC | Chiropractor | 1060 Broad St, Newark, NJ 07102-2397 | 2020-03-03 |
| 1194235010 | Karla M Cayamcela | Physical Therapy Assistant | 1060 Broad St, Baesment, Newark, NJ 07018 | 2017-10-05 |
| 1285028217 | Orthosports Physical Therapy and Rehabilitation PC | Physical Therapist | 1060 Broad St, Grnd Floor, Newark, NJ 07102-2397 | 2015-03-27 |
| 1033511647 | Ami Shah | Pharmacist | 1060 Broad St, Newark, NJ 07102-2397 | 2014-09-25 |
| 1578810289 | Kimberly Physical Therapy & Rehabilitation | Clinic/Center | 1060 Broad St, Newark, NJ 07102-2397 | 2012-08-13 |
| 1265627376 | Rajan Shah Md Pa | Internal Medicine | 1060 Broad St, Newark, NJ 07102-2397 | 2007-09-11 |
| 1740475854 | Essex Plaza Medical Associates Pa | Internal Medicine | 1060 Broad St, Newark, NJ 07102-2397 | 2007-09-11 |
| 1336354919 | Happy Days II Adult Heathcare | Clinic/Center | 1060 Broad St, Newark, NJ 07102-2397 | 2007-05-14 |
| 1053480475 | Vikas S. Bawa | Podiatrist | 1060 Broad St, Lower Level Medical Office, Newark, NJ 07102-2397 | 2006-11-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487253779 | Integrity, Inc | Clinic/Center | 1091-1093 Broad Street, Newark, NJ 07102 | 2020-10-19 |
| 1881292720 | Oluwaseun Ademulegun | Pharmacist | 1084 Broad Street, Newark, Newark, NJ 07102 | 2020-10-13 |
| 1679042295 | Henry Paul Grayner | Specialist/Technologist | 100 Lock St, Newark, NJ 07102 | 2018-11-14 |
| 1548736838 | Integrity, Inc | Substance Abuse Rehabilitation Facility | 101 Lincoln Park, 2nd Floor, Newark, NJ 07102 | 2018-10-15 |
| 1962981407 | Crystal Kay-baune Mccown | Social Worker | 130 Orange St, Newark, NJ 07102 | 2018-08-07 |
| 1053808865 | Nubi Consultants Corp. Dba Aplus Home Care | Physical Therapist | 11 Franklin Street, 11 Franklin Street, Newark, NJ 07102 | 2018-04-17 |
| 1396249264 | Integrity, Inc | Substance Abuse Rehabilitation Facility | 49 Lincoln Park, Newark, NJ 07102 | 2018-03-23 |
| 1568960896 | Saint James Health Inc | Clinic/Center | 36 Halsey Street, Newark, NJ 07102 | 2018-02-01 |
| 1992216527 | Metropolitan Center for Human Services | Psychologist | 520 Dr. Martin Luther King, Jr. Boulevard, Newark, NJ 07102 | 2017-10-23 |
| 1467974949 | Ahmad Mohammad Tawfiq Damati | Student in an Organized Health Care Education/Training Program | 123 University Ave, Newark, Nj 07102, Newark, NJ 07102 | 2017-07-17 |
| Find all providers in zip 07102 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841633542 | Sonia Mvuemba | Podiatrist | 150 Bergen St # G-142, Newark, NJ 07103-2496 | 2013-04-11 |
| 1922282235 | Stephen R. Pittman, Dpm Pa | Podiatrist | 410 Christiana Medical Ctr, Newark, DE 19702-1654 | 2007-12-21 |
| 1396835799 | Kenneth L Abram | Podiatrist | 843 N 21st St Ste 107, Newark, OH 43055-2954 | 2006-10-14 |
| 1275528309 | Jason M. Bell | Podiatrist | 1 Centurian Drive, Suite 101, Newark, DE 19713-2137 | 2005-09-14 |
| 1285052878 | Cherreen Tawancy | Podiatrist | 1920 Tamarack Rd, Newark, OH 43055 | 2014-04-01 |
| 1023447844 | New Jersey Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 467 Mount Prospect Ave, Newark, NJ 07104-2907 | 2013-11-02 |
| 1265799217 | Amanda Leigh Quisno | Podiatrist | 1920 Tamarack Rd, Newark, OH 43055-2303 | 2012-04-16 |
| 1356582126 | Warren A Chiodo | Podiatrist | 150 Bergen St, G142, Newark, NJ 07103-2496 | 2009-03-09 |
| 1942421839 | Dr Kenneth Frank | Podiatrist | 111 Mulberry St, Suite 1r, Newark, NJ 07102-4008 | 2007-05-01 |
| 1023178258 | Delaware Foot & Ankle Group, P.a. | Podiatrist | 2600 Glasgow Ave, Suite 107, Newark, DE 19702-4773 | 2006-12-11 |
| Find all providers in NEWARK | ||||
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| 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.