ADVANCE ANKLE, FOOT AND PAIN


Address: 1084 Main Ave, Clifton, NJ 07011-2330
Phone: 9734734040

ADVANCE ANKLE, FOOT AND PAIN (NPI# 1467736207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467736207
Entity Type Organization
Organization Name ADVANCE ANKLE, FOOT AND PAIN
Practice Address 1084 Main Ave
Clifton
NJ 07011-2330
Practice Telephone 9734734040
Practice Fax Number 9734722451
Mailing Telephone 9734734040
Mailing Fax Number 9734722451
Enumeration Date 2011-09-28
Last Update Date 2011-09-28
Authorized Official Name MIRZA BEG (MEMBERS/MANAGERS)
Authorized Official Telephone 9734734040
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 111NN0400X Chiropractor
Specialization: Neurology
NJ Chiropractic Providers
N 174400000X Specialist NJ Other Service Providers
N 208VP0000X Pain Medicine
Specialization: Pain Medicine
NJ Allopathic & Osteopathic Physicians
N 305R00000X Preferred Provider Organization NJ Managed Care Organizations
Y 2084N0400X Psychiatry & Neurology
Specialization: Neurology
NJ Allopathic & Osteopathic Physicians

Office Location

Street Address 1084 MAIN AVE
City CLIFTON
State NJ
Zip Code 07011-2330

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1134513260 Main Avenue Clifton Surgery Center, LLC Clinic/Center 1084 Main Ave, Clifton, NJ 07011-2330 2015-03-26
1649469081 Spine Orthopedic and Sports Medicine Specialist 1084 Main Ave, Clifton, NJ 07011-2330 2007-10-22
1952508087 Michael Craig Dobrow Family Medicine 1084 Main Ave, Clifton, NJ 07011 2007-07-02
1669591590 Mega Medical Group Specialist 1084 Main Ave, Clifton, NJ 07011-2330 2007-03-29
1497881379 Pain Center of North Jersey PC. Specialist 1084 Main Ave, Clifton, NJ 07011-2330 2007-02-26
1902905607 Bergen Passaic Ambulatory Surgery Center Inc Clinic/Center 1084 Main Ave, Clifton, NJ 07011-2330 2006-09-21

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1982124707 Rana Garris Student in an Organized Health Care Education/Training Program 327 Luddington Avenue, 1st Floor, Clifton, NJ 07011 2017-06-22
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Taxonomy Information

Taxonomy Code 2084N0400X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Neurology

Taxonomy Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780014415 Clifton Medical Pain & Rehabilitation Center Psychiatry & Neurology 505 Lexington Ave, Clifton, NJ 07011-1935 2013-11-15
1376877159 Lynne Carmickle Psychiatry & Neurology 1136 Clifton Ave, Clifton, NJ 07013-3622 2009-09-25
1306006242 Fawad A Mian Psychiatry & Neurology 246 Barkley Avenue, Clifton, NJ 07011 2008-06-13
1083600662 Avery Seth Katz Psychiatry & Neurology 4 Brighton Rd, Clifton, NJ 07012-1664 2005-09-20
1871875955 Passaic Sleep Medicine & Neurological Services PC Psychiatry & Neurology 1114 Clifton Ave, Suite4, Clifton, NJ 07013-3636 2011-09-14
1508182452 Nicole Melissa Conroy Psychiatry & Neurology 1135 Broad St, Clifton, Clifton, NJ 07013-3346 2010-04-18
1427374594 Shital P Shah Psychiatry & Neurology 4 Brighton Rd, Clifton, NJ 07012-1664 2010-04-14
1205872785 Myrna B. Tagayun Psychiatry & Neurology 1199 Main Ave, Suite 5, Clifton, NJ 07011-2253 2006-06-21
1063407674 Neurology Group of North Jersey Pa Psychiatry & Neurology 905 Allwood Rd, Suite 105, Clifton, NJ 07012-1946 2005-09-20
1881689495 Steve Lequerica Psychiatry & Neurology 905 Allwood Rd, Suite 105, Clifton, NJ 07012-1945 2005-09-20
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Competitor

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City CLIFTON
Zip Code 07011

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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