Provider Demographics
NPI:1457941593
Name:UNIVERSAL FOOTCARE PC
Entity Type:Organization
Organization Name:UNIVERSAL FOOTCARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:NEHA
Authorized Official - Middle Name:J
Authorized Official - Last Name:PATHAK
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:614-537-2453
Mailing Address - Street 1:140 N RTE 17 UNIT 103
Mailing Address - Street 2:
Mailing Address - City:PARAMUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07652-2809
Mailing Address - Country:US
Mailing Address - Phone:646-923-6999
Mailing Address - Fax:
Practice Address - Street 1:140 N RTE 17 UNIT 103
Practice Address - Street 2:
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07652-2809
Practice Address - Country:US
Practice Address - Phone:646-923-6999
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-22
Last Update Date:2021-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty