NPIMap

Organization Active NPI

Integrated Foot and Ankle Specialists of NJ LLC

  • Podiatric Clinic/Center
  • Moorestown, NJ
National Provider Identifier
1043016736
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
704 E Main St Ste C
Moorestown, NJ 08057-3070
Phone
(856) 242-3957
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 Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

704 E Main St Ste C
Moorestown, NJ 08057-3070

Mailing address

PO Box 1038
Marlton, NJ 08053-6038

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

704 E Main St
Ste C
Moorestown, NJ 08057
Phone (856) 242-3957

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": "1043016736",
    "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": "704 E MAIN ST STE C",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573070",
            "telephone_number": "856-242-3957"
        }
    ],
    "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": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorestown, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.