Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | 25MD00333000 | NJ |
Y | 222Z00000X | Podiatrist | 25MD00333000 | NJ |
N | 213EP1101X | Primary Podiatric Medicine | 25MD00333000 | NJ |
N | 213ES0103X | Foot & Ankle Surgery | 25MD00333000 | NJ |
NPI | 1528516663 |
---|---|
Provider Name | Dr. Ana Maria Pimentel |
First Address | Hackensack, NJ 07601-1960 |
Second Address | Hackensack, NJ 07601-1960 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/09/2016 |
Last Update Date | 17/03/2018 |