Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Innovative Foot and Ankle, PA

Organization Foot & Ankle Surgery Podiatrist · NPI 1376079582

Innovative Foot and Ankle, PA is a Foot & Ankle Surgery Podiatrist in Bayonne, New Jersey. Licensed in New Jersey. Registered with an NPI since 2017.

Licensed in
NJ
In the registry since
2017
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

877 Broadway
Bayonne, NJ 07002-3197
Phone: (201) 436-4287
Fax: (201) 436-5794
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 25MD00261900 (NJ)

Record details

NPI number1376079582
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sean Kaufman — Owner/Provider · (908) 276-6624
NPI enumeratedMay 8, 2017
Last updated in NPPESSeptember 11, 2023
Certification dateSeptember 11, 2023
Mailing address528 Boulevard, Kenilworth, NJ 07033-1657

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