Provider Demographics
NPI:1316813264
Name:JUST FEET AND ANKLE CARE, LLC
Entity type:Organization
Organization Name:JUST FEET AND ANKLE CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHUDI
Authorized Official - Middle Name:
Authorized Official - Last Name:MGBAKO
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:609-934-4853
Mailing Address - Street 1:90 MILLBURN AVE STE 105
Mailing Address - Street 2:
Mailing Address - City:MILLBURN
Mailing Address - State:NJ
Mailing Address - Zip Code:07041-1933
Mailing Address - Country:US
Mailing Address - Phone:609-934-4853
Mailing Address - Fax:609-473-6036
Practice Address - Street 1:90 MILLBURN AVE STE 105
Practice Address - Street 2:
Practice Address - City:MILLBURN
Practice Address - State:NJ
Practice Address - Zip Code:07041-1933
Practice Address - Country:US
Practice Address - Phone:609-934-4853
Practice Address - Fax:609-473-6036
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-16
Last Update Date:2025-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty