Provider Demographics
NPI:1932432572
Name:NEW JERSEY FOOT AND ANKLE CENTER
Entity Type:Organization
Organization Name:NEW JERSEY FOOT AND ANKLE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RALPH
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:NAPOLI
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:201-265-4400
Mailing Address - Street 1:390 OLD HOOK RD
Mailing Address - Street 2:
Mailing Address - City:WESTWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07675-2600
Mailing Address - Country:US
Mailing Address - Phone:201-497-6666
Mailing Address - Fax:201-497-6664
Practice Address - Street 1:390 OLD HOOK RD
Practice Address - Street 2:
Practice Address - City:WESTWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07675-2600
Practice Address - Country:US
Practice Address - Phone:201-497-6666
Practice Address - Fax:201-497-6664
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-15
Last Update Date:2012-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJT88157Medicare UPIN