# MONTCLAIR FOOT AND ANKLE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** NJ Ankle Pain, Montclair foot and ankle, NJ Ankle Pain LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225810435
- **Authorized official:** DR. ANISSA HASHEMI-AWWAL DPM (OWNER)
- **Authorized official phone:** (973) 265-0888

## Contact information

- **Practice address:** 546 VALLEY RD STE 101, MONTCLAIR, NJ 07043-1871
- **Practice address phone:** (973) 420-6502
- **Mailing address:** 546 VALLEY RD STE 101, MONTCLAIR, NJ 07043-1871
- **Mailing address phone:** (973) 265-0888

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 10/23/2023
- **Last updated:** 12/26/2025
