Provider Demographics
NPI:1588412159
Name:HAPPY FEET MOBILE LLC
Entity type:Organization
Organization Name:HAPPY FEET MOBILE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:AMRO
Authorized Official - Middle Name:
Authorized Official - Last Name:ELNAKIB
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:908-395-9025
Mailing Address - Street 1:1911 SWITZER AVE
Mailing Address - Street 2:
Mailing Address - City:PARLIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08859-2211
Mailing Address - Country:US
Mailing Address - Phone:908-433-7188
Mailing Address - Fax:
Practice Address - Street 1:7 LINCOLN HWY STE 200B
Practice Address - Street 2:
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08820-3965
Practice Address - Country:US
Practice Address - Phone:908-395-9025
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-09
Last Update Date:2024-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty