Individual provider · Type 1 NPI
Elias G. Logothetis, DPM
Foot & Ankle Surgery Podiatrist · Pine Brook, NJ
NPI number
1003499534
Active
Practice location
64 US Highway 46 Ste 201
Pine Brook, NJ 07058-4401
Fax (973) 995-1910
Mailing address
30 Lower Notch Rd
Little Falls, NJ 07424-1806
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | N007353 (NY) |
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 25MD00377800 (NJ) |
Foot & Ankle Surgery Podiatrist: Definition to come...
2 other providers at this address
About NPI 1003499534
Elias G. Logothetis, DPM's National Provider Identifier is 1003499534, issued on May 3, 2021. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Pine Brook, NJ. The record was last updated on Aug 29, 2025.