Provider Demographics
NPI:1538114475
Name:PRINCETON FOOT AND ANKLE ASSOCIATES
Entity Type:Organization
Organization Name:PRINCETON FOOT AND ANKLE ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:STANOCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-799-0043
Mailing Address - Street 1:263 PRINCETON HIGHTSTOWN RD
Mailing Address - Street 2:
Mailing Address - City:WEST WINDSOR
Mailing Address - State:NJ
Mailing Address - Zip Code:08550-3127
Mailing Address - Country:US
Mailing Address - Phone:609-799-0043
Mailing Address - Fax:609-799-0047
Practice Address - Street 1:263 PRINCETON HIGHTSTOWN RD
Practice Address - Street 2:
Practice Address - City:WEST WINDSOR
Practice Address - State:NJ
Practice Address - Zip Code:08550-3127
Practice Address - Country:US
Practice Address - Phone:609-799-0043
Practice Address - Fax:609-799-0047
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-22
Last Update Date:2008-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJCC4761OtherRAILROAD MEDICARE
NJCB0756OtherRAILROAD MEDICARE
038027Medicare PIN
NJ460411Medicare PIN
NJCC4761OtherRAILROAD MEDICARE
NJ0774260002Medicare NSC