# NEW JERSEY PODIATRY, LLC

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

## Provider details

- **NPI number:** 1427457043
- **Authorized official:** DANNY GOMEZ (D.P.M.)
- **Authorized official phone:** (973) 202-4933

## Contact information

- **Practice address:** 331 BOULEVARD, GLEN ROCK, NJ 07452-3212
- **Practice address phone:** (973) 202-4933
- **Mailing address:** 331 BOULEVARD, GLEN ROCK, NJ 07452-3212
- **Mailing address phone:** (973) 202-4933

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 25MD00319300 | NJ | Yes |

## Other

- **Enumeration date:** 08/19/2014
- **Last updated:** 02/13/2020