Active NPI
NJC Foot & Ankle Surgical Specialists
- Foot & Ankle Surgery Podiatrist
- Miami Shores, FL
National Provider Identifier
1023749181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- Legal business name
- NJC FOOT & ANKLE SURGICAL SPECIALISTS
- Practice address
- 9600 NE 2ND Ave
Miami Shores, FL 33138-2722 - Phone
- (305) 712-6395
- Fax
- (305) 630-8590
- NPI assigned
- Jun 20, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nicholas J Coretti, DPM
- Title
- Owner
- Phone
- (305) 712-6395
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | Primary |
Addresses
Primary practice location
9600 NE 2ND Ave
Miami Shores, FL 33138-2722
Mailing address
15773 NW 3Rd St
Pembroke Pines, FL 33028-1588
Phone (305) 712-6395
National Provider Directory
National Provider Directory- Tax ID family
- NJC Foot Ankle Surgical Specialists
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Foot & Ankle Surgery Podiatrist
- Lauderdale Lakes, FL
- NPI 1649775065
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Lauderdale Lakes, FL
- NPI 1235500422
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655683200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1655683200000",
"number": "1023749181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15773 NW 3RD ST",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330281588",
"telephone_number": "305-712-6395",
"fax_number": "305-630-8590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9600 NE 2ND AVE",
"city": "MIAMI SHORES",
"state": "FL",
"postal_code": "331382722",
"telephone_number": "305-712-6395",
"fax_number": "305-630-8590"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NJC FOOT & ANKLE SURGICAL SPECIALISTS",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-20",
"last_updated": "2022-06-20",
"certification_date": "2022-06-20",
"status": "A",
"authorized_official_last_name": "CORETTI",
"authorized_official_first_name": "NICHOLAS",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "305-712-6395",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami Shores, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.