# INNOVATIVE FOOT AND ANKLE, P.A.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376079582
- **Authorized official:** DR. SEAN L. KAUFMAN DPM (OWNER/PROVIDER)
- **Authorized official phone:** (908) 276-6624

## Contact information

- **Practice address:** 877 BROADWAY, BAYONNE, NJ 07002-3197
- **Practice address phone:** (201) 436-4287
- **Practice address fax:** (201) 436-5794
- **Mailing address:** 528 BOULEVARD, KENILWORTH, NJ 07033-1657
- **Mailing address phone:** (908) 276-6624
- **Mailing address fax:** (908) 709-0163

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 25MD00261900 | NJ | Yes |

## Other

- **Enumeration date:** 05/08/2017
- **Last updated:** 09/11/2023