# FOOT AND ANKLE CENTER OF NEW JERSEY LLC

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

## Provider details

- **NPI number:** 1487704417
- **Authorized official:** KRISTEN MANNIX (OFFICE MANAGER)
- **Authorized official phone:** (908) 755-5545

## Contact information

- **Practice address:** 1024 PARK AVE, SUITE 3, PLAINFIELD, NJ 07060-3026
- **Practice address phone:** (908) 755-5545
- **Practice address fax:** (908) 755-6065
- **Mailing address:** 1024 PARK AVE, SUITE 3, PLAINFIELD, NJ 07060-3026
- **Mailing address phone:** (908) 755-5545
- **Mailing address fax:** (908) 755-6065

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213EP1101X | Primary Podiatric Medicine Podiatrist | 25MD00274700 | NJ | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 25MD00274800 | NJ | Yes |

## Other

- **Enumeration date:** 01/11/2007
- **Last updated:** 09/09/2014