JERSEY FOOT AND ANKLE CLINIC, LLC (NPI# 1982993119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982993119 |
| Entity Type | Organization |
| Organization Name | JERSEY FOOT AND ANKLE CLINIC, LLC |
| Practice Address |
152 Market St Suite 314 Paterson NJ 07505-1724 |
| Practice Telephone | 9732784200 |
| Enumeration Date | 2011-03-28 |
| Last Update Date | 2012-01-19 |
| Authorized Official Name | HENRIETTA I OBIDIGBO (OWNER) |
| Authorized Official Telephone | 9732169071 |
| 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 |
25MD00296100 | NJ | Podiatric Medicine & Surgery Service Providers |
| Street Address |
152 MARKET ST SUITE 314 |
| City | PATERSON |
| State | NJ |
| Zip Code | 07505-1724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346371648 | Jerry Gross Dds Pa | Dentist | 152 Market St, Suite 400, Paterson, NJ 07505-1724 | 2007-03-08 |
| 1427310283 | Yolanda Esquiche | Counselor | 152 Market St, Suite 217, Paterson, NJ 07505-1724 | 2012-06-07 |
| 1295029809 | Always Home Care Paterson Inc. | Case Management | 152 Market St, Suite 320, Paterson, NJ 07505-1724 | 2011-06-01 |
| 1003030495 | Challenge Program of New Jersey Inc | Clinic/Center | 152 Market St, Suite 200, Paterson, NJ 07505-1724 | 2007-04-13 |
| 1598893570 | Jerry H Gross | Dentist | 152 Market St, Suite 400, Paterson, NJ 07505-1724 | 2007-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598283202 | Cerebral Palsy of North Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 685 691 14th St, Paterson, NJ 07505 | 2017-09-01 |
| 1700031283 | Robert Rekker | Psychologist | 100 Hamilton Plz Ste 101, Paterson, NJ 07505 | 2008-11-25 |
| 1568664951 | James John Hussey | Social Worker | 56 Hamilton S, Paterson, NJ 07505 | 2007-06-05 |
| 1659414910 | Stephen Sherman | Dentist | 1 West Broadway, West Broadway Dental Pa, Paterson, NJ 07505 | 2007-02-15 |
| 1629089909 | Smile Central Dental PC | Dentist | 140 Market Street, 3rd Floor, Paterson, NJ 07505 | 2006-08-11 |
| 1619969581 | Damon House, Inc. | Substance Abuse Rehabilitation Facility | 175 Market St., Paterson, NJ 07505 | 2005-08-17 |
| 1295228377 | Jayasree Dokku | Pharmacist | 102 Broadway, Paterson, NJ 07505 | 2018-06-12 |
| 1619473089 | Meena Al-talib | Dentist | 140 Market St, Paterson, NJ 07505 | 2018-04-03 |
| 1083830384 | Mahir Saleh | Dentist | 1 West Broadway, West Broadway Dental Pa, Paterson, NJ 07505 | 2007-04-17 |
| 1801929591 | West Broadway Dental Pa | Dentist | 1 West Broadway, Paterson, NJ 07505 | 2007-03-13 |
| Find all providers in zip 07505 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972795201 | Henry Slomowitz Dpm | Podiatrist | 265 East 33rd Street, Paterson, NJ 07504-1520 | 2007-08-10 |
| 1013095975 | Anthony J Enrico | Podiatrist | 628 Broadway, Paterson, NJ 07514-1918 | 2006-11-01 |
| 1437243730 | Henry Slomowitz | Podiatrist | 265 E 33rd Street, Paterson, NJ 07504-1520 | 2006-10-03 |
| 1386087997 | Main Foot and Ankle Clinic LLC | Podiatrist | 1040 Main St, Floor 2, Paterson, NJ 07503-2212 | 2013-04-12 |
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| 1386279552 | Liberty Med Associates LLC | Podiatrist | 1 Bethany Rd Ste 21, Hazlet, NJ 07730-1660 | 2020-03-09 |
| 1659905685 | New Jersey Podiatric Physicians & Surgeons Group LLC | Podiatrist | 132 Franklin Corner Rd Ste C1, Lawrenceville, NJ 08648-2523 | 2020-02-28 |
| 1891270609 | Syracuse Medical LLC | Podiatrist | 5 Franklin Ave Ste 103, Belleville, NJ 07109-3521 | 2018-09-27 |
| 1912481946 | Dr Emad Youssef Podiatry LLC | Podiatrist | 14 W 11th St Fl 1, Bayonne, NJ 07002-2508 | 2018-09-14 |
| 1932686334 | Kinetic Foot and Ankle, LLC | Podiatrist | 1030 Mcbride Ave Unit 103, Woodland Park, NJ 07424-2535 | 2018-07-27 |
| 1346730215 | J M Podiatry Associates PC | Podiatrist | 121 Route 31 Ste 700, Flemington, NJ 08822-5754 | 2018-05-15 |
| 1235629783 | Belvidere Foot & Ankle LLC | Podiatrist | 8 Greenwich St, Belvidere, NJ 07823-1421 | 2018-05-10 |
| 1093217622 | Active Podiatry LLC | Podiatrist | 7823 Bergenline Ave Fl 2, North Bergen, NJ 07047-4942 | 2018-02-28 |
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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.