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Organization
PODIATRY ASSOCIATES OF ENGLEWOOD NJ PC
Active
Organization
PODIATRY ASSOCIATES OF ENGLEWOOD NJ PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL HAGEN DPM (PRESIDENT)
(201) 918-4000
Entity
Organization
Contact information
Practice address
363 GRAND AVE, ENGLEWOOD, NJ 07631-4104
(201) 568-6977
(201) 568-7567
Mailing address
363 GRAND AVE, ENGLEWOOD, NJ 07631-4104
(201) 918-4000
(201) 568-7567
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
MD1961
NJ
213ES0103X
Foot & Ankle Surgery Podiatrist
MD1961
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0063356
GHI ID#
NJ
01
—
0110120
AETNA ID#
NJ
01
—
0452298000
AMERIHEALTH
NJ
01
—
2139688
CIGNA ID#
NJ
05
—
6198104
—
NJ
01
—
J32278
HEALTHNET ID#
NJ
01
—
P1023259
OXFORD ID#
NJ
Enumeration date
08/05/2007
Last updated
06/23/2026
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