Innovative Foot and Ankle PA
A Medicare group practice based in Kenilworth, NJ: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 7315950268), with 7 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 7315950268
- Provider type
- DME Supplier - Physician - Podiatry, Part B Supplier - Clinic/Group Practice
- Enrolled in
- NJ
- Enrollments
- 2
- Group size
- 7 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 4
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20060720000037 | NJ | Part B Supplier - Clinic/Group Practice | 1023177532 |
| O20100930019117 | NJ | DME Supplier - Physician - Podiatry | 1023177532 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Innovative Foot and Ankle, P.a.
- Primary Podiatric Medicine Podiatrist
- Kenilworth, NJ
- NPI 1023177532
-
Sean L. Kaufman, D.P.M
- Primary Podiatric Medicine Podiatrist
- Kenilworth, NJ
- NPI 1821091018
Practice locations
- Kenilworth, NJ2
- Bayonne, NJ1
- Montclair, NJ1
Clinicians 7
Clinicians who reassign their Medicare benefits to this group (7) or whom Care Compare lists as members (7).
-
Ashley Theresa Bittar, DPM
- Foot & Ankle Surgery Podiatrist
- Little Ferry, NJ
- NPI 1700239506
-
Joseph Cabrera, DPM
- Podiatrist
- Staten Island, NY
- NPI 1861475972
-
Sean L. Kaufman, D.P.M
- Primary Podiatric Medicine Podiatrist
- Kenilworth, NJ
- NPI 1821091018
-
Rachel Francine Maslow, DPM
- Foot & Ankle Surgery Podiatrist
- Montclair, NJ
- NPI 1073046108
-
Vasiliki Rallatos-Drake, PT, DPT
- Physical Therapist
- Kenilworth, NJ
- NPI 1639417363
-
Michael Rallatos, DPM
- Foot & Ankle Surgery Podiatrist
- Kenilworth, NJ
- NPI 1962431445
-
Pooja Shah, DPM
- Foot & Ankle Surgery Podiatrist
- New Hyde Park, NY
- NPI 1821520933
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.