Innovative Foot And Ankle, P.A.

LBN: Innovative Foot And Ankle, P.A.
Innovative Foot And Ankle, P.A. is an health care organization with primary practice located at 877 Broadway , Bayonne NJ 07002-3197. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as the primary health care specialty. Innovative Foot And Ankle, P.A. can be contacted via phone (201) 436-4287, or through Kaufman, Sean L. via phone (908) 276-6624.

Contact Information

Primary practice address
877 Broadway Bayonne NJ 07002-3197
Fax: (201) 436-5794
Website:
Authorized official contact:
Name: Kaufman, Sean L. Doctor of Podiatric Medicine (DPM)

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 25MD00261900 New Jersey

Profile Details

NPI number 1376079582
LBN Legal business name Innovative Foot And Ankle, P.A.
DBA Doing business as
Authorized official Kaufman, Sean L. Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date May 8th, 2017
Last updated Sep 11th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376079582 NPPES
New Jersey MEDICAID 8719501

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