NPIMap

Organization Active NPI

New Jersey Podiatric Physicians & Surgeons Group, LLC

Doing business as McAnespey Podiatry Center

  • Podiatrist
  • Marlton, NJ
National Provider Identifier
1013465111
Registry record updated Sep 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
NEW JERSEY PODIATRIC PHYSICIANS & SURGEONS GROUP, LLC
Doing business as
McAnespey Podiatry Center
Practice address
105 Evesboro Medford Rd
Suite K
Marlton, NJ 08053-3865
Phone
(856) 810-0444
Fax
(856) 797-8011
NPI assigned
Sep 17, 2016
Last updated
Sep 17, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Hal Ornstein, DPM
Title
Ceo
Phone
(512) 994-5333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

105 Evesboro Medford Rd
Suite K
Marlton, NJ 08053-3865

Mailing address

4633 Hwy 9
Howell, NJ 07731-3324
Phone (732) 994-5333

Other names 1

  • McAnespey Podiatry Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180628000724 NJ DME Supplier - Physician - Podiatry 4385870153 Practice locations: Marlton, NJ

National Provider Directory

National Provider Directory
Tax ID family
New Jersey Podiatric Physicians and Surgeons Group LLC37 organizations share this tax ID, including this one

Other organizations with this tax ID 36

Organizations that report the same tax identification number in the National Provider Directory.

View all 36

Locations

105 Evesboro Medford Rd
Ste K
Marlton, NJ 08053
Phone (856) 810-0444

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1474070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474070400000",
    "number": "1013465111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4633 HWY 9",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "077313324",
            "telephone_number": "732-994-5333",
            "fax_number": "732-994-5336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 EVESBORO MEDFORD RD",
            "address_2": "SUITE K",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533865",
            "telephone_number": "856-810-0444",
            "fax_number": "856-797-8011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW JERSEY PODIATRIC PHYSICIANS & SURGEONS GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-17",
        "last_updated": "2016-09-17",
        "status": "A",
        "authorized_official_last_name": "ORNSTEIN",
        "authorized_official_first_name": "HAL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "512-994-5333",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McAnespey Podiatry Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marlton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.