KINETIC FOOT AND ANKLE, LLC (NPI# 1932686334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932686334 |
| Entity Type | Organization |
| Organization Name | KINETIC FOOT AND ANKLE, LLC |
| Practice Address |
1030 Mcbride Ave Unit 103 Woodland Park NJ 07424-2535 |
| Mailing Address |
50 Lincoln Ave Little Falls NJ 07424-1535 |
| Practice Telephone | 8625208895 |
| Mailing Telephone | 8625208895 |
| Enumeration Date | 2018-07-27 |
| Last Update Date | 2018-12-17 |
| Authorized Official Name | DR. RICO MIGUEL ALMAZAN VISPERAS (OWNER) |
| Authorized Official Telephone | 8625208895 |
| Authorized Official Credential | D.P.M. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
25MD00323600 | NJ | Podiatric Medicine & Surgery Service Providers |
| Street Address |
1030 MCBRIDE AVE UNIT 103 |
| City | WOODLAND PARK |
| State | NJ |
| Zip Code | 07424-2535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316502438 | Daniel E Brito | Licensed Practical Nurse | 163 E Main St 2nd Floor, Little Falls, NJ 07424 | 2019-05-03 |
| 1073008041 | Liza Imperial | Registered Nurse | 188 Newark Pompton Turnpike, Little Falls, NJ 07424 | 2018-06-22 |
| 1770962326 | Matthew Schinelli | Kinesiotherapist | 661 Upper Mountain Avenue, Little Falls, NJ 07424 | 2015-05-28 |
| 1003247073 | Parabolic Performance & Rehabilitation Little Falls LLC | Clinic/Center | 28 Clove Rd, Floyd Hall Arena, Little Falls, NJ 07424 | 2013-12-02 |
| 1013351675 | Natasha Chhabra | Internal Medicine | 1031 Mcbride Avenue, Suite D212, Woodland Park, NJ 07424 | 2013-04-24 |
| 1487903043 | Mali Desantis | Speech-Language Pathologist | 156 Haverhill Ave, Woodland Park, NJ 07424 | 2012-08-29 |
| 1043452014 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 228 Browertown Rd, Little Falls, NJ 07424 | 2009-04-06 |
| 1366640815 | For The Love of Life Inc | Chiropractor | 603 Lackawanna Avenue, West Paterson, NJ 07424 | 2007-07-06 |
| 1134326374 | Kimberly Physical Therapy | Physical Therapist | 153 Route 23, Little Falls, NJ 07424 | 2007-06-29 |
| 1467673483 | Jeanne M. Kilroy | Nurse Practitioner | 275 Patterson Avenue, 1st Floor, Little Falls, NJ 07424 | 2007-05-01 |
| Find all providers in zip 07424 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295091528 | Anant Pankaj Joshi | Podiatrist | 1031 Mcbride Ave, Suite D105, Woodland Park, NJ 07424-2559 | 2012-04-11 |
| 1922035575 | Marc Kitrosser | Podiatrist | 1031 Mcbride Ave, Suite D105, Woodland Park, NJ 07424-2559 | 2006-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396350120 | Lower Limb Institute | Podiatrist | 211 Esses Street, Suite 405, Hackesack, NJ 07601 | 2020-09-09 |
| 1275162315 | Mercer-ocean Podiatry | Podiatrist | 666 Plainsboro Rd Ste 1050, Plainsboro, NJ 08536-3044 | 2020-04-01 |
| 1386279552 | Liberty Med Associates LLC | Podiatrist | 1 Bethany Rd Ste 21, Hazlet, NJ 07730-1660 | 2020-03-09 |
| 1659905685 | New Jersey Podiatric Physicians & Surgeons Group LLC | Podiatrist | 132 Franklin Corner Rd Ste C1, Lawrenceville, NJ 08648-2523 | 2020-02-28 |
| 1891270609 | Syracuse Medical LLC | Podiatrist | 5 Franklin Ave Ste 103, Belleville, NJ 07109-3521 | 2018-09-27 |
| 1912481946 | Dr Emad Youssef Podiatry LLC | Podiatrist | 14 W 11th St Fl 1, Bayonne, NJ 07002-2508 | 2018-09-14 |
| 1346730215 | J M Podiatry Associates PC | Podiatrist | 121 Route 31 Ste 700, Flemington, NJ 08822-5754 | 2018-05-15 |
| 1235629783 | Belvidere Foot & Ankle LLC | Podiatrist | 8 Greenwich St, Belvidere, NJ 07823-1421 | 2018-05-10 |
| 1093217622 | Active Podiatry LLC | Podiatrist | 7823 Bergenline Ave Fl 2, North Bergen, NJ 07047-4942 | 2018-02-28 |
| 1922507003 | Muntasir Khaled | Podiatrist | 417 Memorial Pkwy, Bloomfield, NJ 07003-4266 | 2018-02-05 |
| Find all providers with the same taxonomy | ||||
| City | WOODLAND PARK |
| Zip Code | 07424 |
Please comment or provide details below to improve the information on KINETIC FOOT AND ANKLE, LLC.
| 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.