| Active Podiatry Llc | |
|
7823 Bergenline Ave Fl 2, North Bergen, NJ 07047-4942 | |
| (201) 614-3668 | |
| (973) 256-4757 |
| Full Name | Active Podiatry Llc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 7823 Bergenline Ave Fl 2, North Bergen, New Jersey |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093217622 | NPI | - | NPPES |
| 0429732 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 25MD0032100 (New Jersey) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Active Podiatry Llc Po Box 4293, Wayne, NJ 07474-4293 Ph: (201) 614-3668 | Active Podiatry Llc 7823 Bergenline Ave Fl 2, North Bergen, NJ 07047-4942 Ph: (201) 614-3668 |
Dr. Demetrios S Econopouly, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 9226 Kennedy Blvd, 2nd Floor, North Bergen, NJ 07047 Phone: 201-863-5383 Fax: 201-863-5744 | |
Dr. Sandy Amador, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 6301 Kennedy Blvd, North Bergen, NJ 07047 Phone: 201-662-8700 Fax: 201-453-8075 | |
Ronald Stewart Seftel, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 7300 Bergonline Avenue, North Bergen, NJ 07047 Phone: 201-869-7465 | |
Dr. Franklin N. Levinson, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 9234 Kennedy Blvd, North Bergen, NJ 07047 Phone: 201-868-2400 Fax: 201-868-2014 | |
Jose Grullon Dpm Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 6301 Kennedy Blvd, North Bergen, NJ 07047 Phone: 201-662-8700 Fax: 201-453-8075 | |
A Center For Foot And Ankle Surgery, P.a. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 7521 Bergenline Ave, North Bergen, NJ 07047 Phone: 201-854-7585 Fax: 201-869-9860 |