Individual provider Active NPI

Alicia Lai, DPM

  • Primary Podiatric Medicine Podiatrist
  • Linwood, NJ
National Provider Identifier
1023372653
Registry record updated Jun 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
25MD00340000 Issued in NJ
Practice address
222 New Rd Ste 205
Linwood, NJ 08221-1281
Phone
(609) 653-2066
NPI assigned
Jun 28, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X SC006401 PA
Foot & Ankle Surgery Podiatrist 213ES0103X SC006401 PA
Primary Podiatric Medicine Podiatrist 213EP1101X 25MD00340000 NJ Primary

Addresses

Primary practice location

222 New Rd Ste 205
Linwood, NJ 08221-1281

Mailing address

222 New Rd Ste 205
Linwood, NJ 08221-1281
Phone (609) 653-2066

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180314001562 NJ Practitioner - Podiatry 9830451632 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Feet First of New Jersey LLCGroup PAC ID 9133516370, 2 clinicians

Practice addresses (Care Compare)

4 E Jimmie Leeds Rd
Suite 7
Galloway, NJ 08205-4465
Phone (609) 568-5120

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue240
Removal of skin lesions1-10
Removal of nail tissue109
Removal or shaving of skin growth55

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25MD00340000NJMDPrimary Podiatric Medicine Podiatrist
SC006401PAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Feet First of New Jersey LLC Primary Podiatric Medicine CurrentSince Oct 1, 2024 Accepting new patients
Chestnut Hill Podiatry Associates,P.C. PastSince Jan 1, 2002 Accepting new patients

Locations

4 E Jimmie Leeds Rd
Ste 7
Galloway, NJ 08205
Phone (608) 568-5120

392 N White Horse Pike
Ste 2
Hammonton, NJ 08037
Phone (609) 568-5120

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/78452970-88d1-4fec-b2cf-4da4ec4eae0d/

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1340841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622592000000",
    "number": "1023372653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 NEW RD STE 205",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082211281",
            "telephone_number": "609-653-2066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 NEW RD STE 205",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082211281",
            "telephone_number": "609-653-2066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAI",
        "first_name": "ALICIA",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-28",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "PA",
            "license": "SC006401",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC006401",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NJ",
            "license": "25MD00340000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Linwood, NJ

Sources for this page

Verify at the official NPI Registry.