Provider Demographics
NPI:1255361515
Name:NEW JERSEY FOOT & ANKLE CENTERS, P.C.
Entity type:Organization
Organization Name:NEW JERSEY FOOT & ANKLE CENTERS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DPM
Authorized Official - Prefix:DR
Authorized Official - First Name:DAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MARGOLIN
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:201-261-9445
Mailing Address - Street 1:550 KINDERKAMACK RD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:ORADELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07649-1500
Mailing Address - Country:US
Mailing Address - Phone:201-261-9445
Mailing Address - Fax:201-261-0058
Practice Address - Street 1:680 KINDERKAMACK RD STE 204
Practice Address - Street 2:
Practice Address - City:ORADELL
Practice Address - State:NJ
Practice Address - Zip Code:07649-1600
Practice Address - Country:US
Practice Address - Phone:201-261-9445
Practice Address - Fax:201-261-0058
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-03
Last Update Date:2021-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ441642M35OtherOLD MEDICARE NUMBER
NJP2408757OtherOXFORD ID
NJ3124538OtherAETNA
NJT44978OtherUPIN
NJ3124538OtherAETNA
NJ172685Medicare PIN
NJ441642M35OtherOLD MEDICARE NUMBER