Provider Demographics
NPI:1578741666
Name:PARSIPPANY FOOT & ANKLE LLC
Entity Type:Organization
Organization Name:PARSIPPANY FOOT & ANKLE LLC
Other - Org Name:DRS. STEPHEN I GREENFOGEL, DAVID H SIMS, EMILIO A PUZO, KIRAN D. POYL
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:H
Authorized Official - Last Name:SIMS
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:973-334-1770
Mailing Address - Street 1:50 CHERRY HILL RD
Mailing Address - Street 2:SUITE 206
Mailing Address - City:PARSIPPANY
Mailing Address - State:NJ
Mailing Address - Zip Code:07054
Mailing Address - Country:US
Mailing Address - Phone:973-334-1770
Mailing Address - Fax:973-334-2217
Practice Address - Street 1:50 CHERRY HILL RD
Practice Address - Street 2:SUITE 206
Practice Address - City:PARSIPPANY
Practice Address - State:NJ
Practice Address - Zip Code:07054
Practice Address - Country:US
Practice Address - Phone:973-334-1770
Practice Address - Fax:973-334-2217
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-31
Last Update Date:2010-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ4807220001Medicare NSC