| New Jersey Podiatry, Llc | |
| 331 Boulevard, Glen Rock, NJ 07452-3212 | |
| (973) 202-4933 | |
| Not Available | 
| Full Name | New Jersey Podiatry, Llc | 
|---|---|
| Type | Facility | 
| Speciality | Podiatrist - Foot & Ankle Surgery | 
| Location | 331 Boulevard, Glen Rock, New Jersey | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1427457043 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 25MD00319300 (New Jersey) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| New Jersey Podiatry, Llc 331 Boulevard, Glen Rock, NJ 07452-3212 Ph: (973) 202-4933 | New Jersey Podiatry, Llc 331 Boulevard, Glen Rock, NJ 07452-3212 Ph: (973) 202-4933 | 
| Dr. Nicole Dawn Rubackin-hayward, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 159 Marlboro Rd, Glen Rock, NJ 07452 Phone: 201-857-4467 | |
| Dr. Fay Sharit, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 155 Elmwood Ave, Glen Rock, NJ 07452 Phone: 201-286-5831 |