INNOVATIVE FOOT AND ANKLE, P.A.
NPI 1376079582
Podiatrist - Foot & Ankle Surgery in Bayonne, NJ

Active since May 08, 2017
877 BROADWAY, BAYONNE, NJ 07002(201) 436-4287(201) 436-5794 Get Directions Write a Review

NPPES record last updated: September 11, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 13, 2018, May 8, 2017 (2 updates tracked since 2017).

About Innovative Foot And Ankle, P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INNOVATIVE FOOT AND ANKLE, P.A. (NPI 1376079582) is a healthcare organization registered as a foot & ankle surgery in Bayonne, New Jersey and active in the NPI registry since May 2017. The organization lists Sean L. Kaufman, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1376079582
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameINNOVATIVE FOOT AND ANKLE, P.A.
Location Address877 BROADWAYBayonne, NJ 07002-3197
Mailing Address528 BoulevardKenilworth, NJ 07033-1657 · (908) 276-6624 · Fax (908) 709-0163
Fax(201) 436-5794
Organization SubpartNo
Authorized OfficialSean L. KaufmanOwner/provider · (908) 276-6624
Enumeration DateMay 8, 2017
Last NPPES UpdateSeptember 11, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2023
✔ NPI 1376079582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in NJ · 25MD00261900
877 BROADWAY, Bayonne, NJ 07002

Other Identifiers 1

Medicaid8719501NJ

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Innovative Foot And Ankle, P.A.'s NPI number?

The NPI number for Innovative Foot And Ankle, P.A. is 1376079582. It was assigned to this organization in the NPPES registry on May 8, 2017.

Where is Innovative Foot And Ankle, P.A. located?

Innovative Foot And Ankle, P.A. is located at 877 Broadway, Bayonne, NJ 07002. The listed phone number is (201) 436-4287.

What is Innovative Foot And Ankle, P.A.'s specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

When was this NPI record last updated?

The NPPES record for Innovative Foot And Ankle, P.A. was last updated on September 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.