| Ankle & Foot Surgery, Pa | |
|
16 Pocono Rd, Suite 209, Denville, NJ 07834-2901 | |
| (973) 331-7900 | |
| (973) 331-7999 |
| Full Name | Ankle & Foot Surgery, Pa |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 16 Pocono Rd, Denville, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972761435 | NPI | - | NPPES |
| 0943908 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 25MD00187700 (New Jersey) | Primary |
| Provider Name | Dean P Licopantis |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1760478010 PECOS PAC ID: 0941373245 Enrollment ID: I20080721000023 |
| Mailing Address | Practice Location Address |
|---|---|
| Ankle & Foot Surgery, Pa 16 Pocono Rd, Suite 209, Denville, NJ 07834-2901 Ph: (973) 331-7900 | Ankle & Foot Surgery, Pa 16 Pocono Rd, Suite 209, Denville, NJ 07834-2901 Ph: (973) 331-7900 |
Dr. Ronald Marc Sidorsky, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 3155 Route 10 East, Suite 215, Denville, NJ 07834 Phone: 973-824-8201 Fax: 973-824-0670 | |
Dr. Gerald I Bresner, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 75 Bloomfield Ave, Suite 106, Denville, NJ 07834 Phone: 973-627-7090 Fax: 973-625-7767 | |
Hennessy Medical Professional Corporation Podiatrist Medicare: Medicare Enrolled Practice Location: 3155 Rt 10 East, Suite 215, Denville, NJ 07834 Phone: 973-895-3288 Fax: 973-895-9047 | |
Dr. Nirav R Shah, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 58 Nicole Dr, Denville, NJ 07834 Phone: 973-570-2996 | |
Dr. Kevin Souza, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 3155 Route 10 East, Suite 215, Denville, NJ 07834 Phone: 973-895-3288 | |
Dr. Mack D Jacobs, D.P.M. Podiatrist Medicare: May Accept Medicare Assignments Practice Location: 16 Pocono Rd, Suite 115, Denville, NJ 07834 Phone: 973-625-1163 | |
Dr. Nafis Ahmed, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 3155 State Route 10 Ste 215, Denville, NJ 07834 Phone: 973-895-3288 Fax: 862-276-2018 |