# NEW JERSEY FOOT AND ANKLE SPECIALISTS LLC

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

## Provider details

- **NPI number:** 1508130873
- **Authorized official:** DR. THEODORE ROBERTO D.P.M. (SOLE MEMBER, MANAGING MEMBER)
- **Authorized official phone:** (973) 981-5250

## Contact information

- **Practice address:** 1700 ROUTE 23 STE 160, WAYNE, NJ 07470-7513
- **Practice address phone:** (973) 944-0226
- **Practice address fax:** (973) 695-1035
- **Mailing address:** 1700 ROUTE 23 STE 160, WAYNE, NJ 07470-7513
- **Mailing address phone:** (973) 944-0226
- **Mailing address fax:** (973) 695-1035

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 25MD00301200 | NJ | Yes |

## Other

- **Enumeration date:** 03/02/2012
- **Last updated:** 02/26/2020