Organization · NPI-2
11/11 Consulting Services, INC.
Podiatrist, Foot & Ankle Surgery · Edgewater, NJ
NPI number1477813459
StatusActive
Last updated in NPPESSep 6, 2012
Details
- NPI
- 1477813459
- Entity type
- Organization (NPI-2)
- Legal business name
- 11/11 Consulting Services, INC.
- Organization subpart
- No
- Enumeration date
- May 23, 2012
- Last updated
- Sep 6, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213ES0103X | Podiatrist, Foot & Ankle Surgery | 25MD00307400 | NJ | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – |
Practice location
125 Hudson CoveEdgewater, NJ 07020-0000
Phone 201-707-1200
Mailing address
125 Hudson CoveEdgewater, NJ 07020-0000
Phone 201-707-1200
Authorized official
Steven Bernstein
President
2017071200
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.