IndividualActive
Anissa Hashemi-Awwal, DPM
NPI 1700294303 · Foot & Ankle Surgery Podiatrist · Montclair, NJ
Provider details
- NPI number
- 1700294303
- Entity type
- Individual
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Female
- Sole proprietor
- No
- License
- 25MD00340700 (NJ)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
546 Valley Rd Ste 101
Montclair, NJ 07043-1871
Phone: (973) 265-0888
Approximate (ZIP-level) locationGet directions
Mailing address
546 Valley Rd Ste 101
Montclair, NJ 07043-1871
Registry dates
- Enumerated
- 2014-07-27
- Last updated
- 2025-11-11
- Certified
- 2025-11-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.