NPIMap

Organization Active NPI

Integrated Foot and Ankle Specialists of NJ LLC

  • Podiatric Clinic/Center
  • Voorhees, NJ
National Provider Identifier
1033915723
Registry record updated Feb 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
Legal business name
INTEGRATED FOOT AND ANKLE SPECIALISTS OF NJ LLC
Practice address
2301 E Evesham Rd Ste 207&208
Voorhees, NJ 08043-4501
Phone
(856) 768-7850
NPI assigned
Feb 22, 2025
Last updated
Feb 22, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
INTEGRATED FOOT AND ANKLE SPECIALISTS OF NJ LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 22, 2025

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

Authorized official

Name
Teresa Leonarda Ciaccio
Title
Chief Operating Officer
Phone
(516) 993-8666

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X NU Primary
Durable Medical Equipment & Medical Supplies 332B00000X NU

Addresses

Primary practice location

2301 E Evesham Rd Ste 207&208
Voorhees, NJ 08043-4501

Mailing address

PO Box 1038
Marlton, NJ 08053-6038

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260609004620 NJ DME Supplier - Physician - Podiatry 0547623332 Practice locations: Voorhees, NJ

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Integrated Foot and Ankle Specialists of NJ LLC10 organizations share this tax ID, including this one
Part of
Integrated Foot and Ankle Specialists of NJ LLC

Other organizations with this tax ID 9

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

Locations

2301 E Evesham Rd
Ste 207208
Voorhees, NJ 08043

NPI Registry JSON

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

{
    "created_epoch": "1740182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740182400000",
    "number": "1033915723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1038",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080536038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 E EVESHAM RD STE 207&208",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434501",
            "telephone_number": "856-768-7850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED FOOT AND ANKLE SPECIALISTS OF NJ LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INTEGRATED FOOT AND ANKLE SPECIALISTS OF NJ LLC",
        "enumeration_date": "2025-02-22",
        "last_updated": "2025-02-22",
        "certification_date": "2025-02-22",
        "status": "A",
        "authorized_official_last_name": "CIACCIO",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "LEONARDA",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "516-993-8666"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2025; 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.