Provider Demographics
NPI:1972727998
Name:ANKLE & FOOT SPECIALISTS OF HOBOKEN, LLC
Entity Type:Organization
Organization Name:ANKLE & FOOT SPECIALISTS OF HOBOKEN, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ALLISON
Authorized Official - Middle Name:
Authorized Official - Last Name:GUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:201-222-5200
Mailing Address - Street 1:59 14TH ST
Mailing Address - Street 2:
Mailing Address - City:HOBOKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07030-5554
Mailing Address - Country:US
Mailing Address - Phone:201-222-5200
Mailing Address - Fax:201-792-2773
Practice Address - Street 1:59 14TH ST
Practice Address - Street 2:
Practice Address - City:HOBOKEN
Practice Address - State:NJ
Practice Address - Zip Code:07030-5554
Practice Address - Country:US
Practice Address - Phone:201-222-5200
Practice Address - Fax:201-792-2773
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-12
Last Update Date:2009-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMD001947213ES0103X
NJMD002580213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ5056900Medicaid
NJU22812Medicare UPIN
NJU80463Medicare UPIN
NJ5056900Medicaid
NJ056994Medicare PIN