ACTIVE FOOT & ANKLE CARE, LLC; NPI #1538243076

Contact Information

ACTIVE FOOT & ANKLE CARE, LLC

4-14 SADDLE RIVER RD
SUITE 101
FAIR LAWN, NJ 07410-5632

Phone: 201-791-1881
Fax: 201-791-6177
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Surgery, Foot & Ankle	213ES0103X	48	Podiatry

Indicates primary specialty

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NPI Profile & details for ACTIVE FOOT & ANKLE CARE, LLC

NPI # 1538243076

LBN Legal business name ACTIVE FOOT & ANKLE CARE, LLC

Authorized official RICHARD BRAVER - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/24/2006

Last updated 10/28/2013 - About 13 years ago

Identifiers

License #

25MD00166400

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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