| Estrada Podiatry Group Llc | |
| 
					5005 Bergenline Ave, West New York, NJ 07093-5563  | |
| (201) 865-3400 | |
| (201) 520-0040 | 
| Full Name | Estrada Podiatry Group Llc | 
|---|---|
| Type | Facility | 
| Speciality | Podiatrist - Foot & Ankle Surgery | 
| Location | 5005 Bergenline Ave, West New York, New Jersey | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1639304249 | NPI | - | NPPES | 
| 0056553 | Medicaid | NJ | |
| P00353274 | Other | NJ | PALMETTO GBA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 25MD00268900 (New Jersey) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Estrada Podiatry Group Llc 5005 Bergenline Ave, West New York, NJ 07093-5563 Ph: (201) 865-3400  | Estrada Podiatry Group Llc 5005 Bergenline Ave, West New York, NJ 07093-5563 Ph: (201) 865-3400  | 
Matthew B. Welch Dpm Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 6506 Park Ave, West New York, NJ 07093 Phone: 201-662-1122 Fax: 201-869-2965  | |
Mrs. Martha Carvajal, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 221 60th St, West New York, NJ 07093 Phone: 201-758-9300  | |
Apmc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 221 60th St, West New York, NJ 07093 Phone: 201-758-9300  | |
Dr. Matthew B. Welch, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 6506 Park Ave, West New York, NJ 07093 Phone: 201-662-1122 Fax: 201-869-2965  | |
Dr. Alexander Estrada, D.P.M. Podiatrist Medicare: Medicare Enrolled Practice Location: 5005 Bergenline Ave, West New York, NJ 07093 Phone: 201-865-3400 Fax: 201-520-0040  |