Podiatry Associates of Belleville PC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

25MD00188800 Issued in NJ

Legal business name

PODIATRY ASSOCIATES OF BELLEVILLE PC

Practice address

155 Belleville Ave
Belleville, NJ 07109-2407

Phone

(973) 450-0878

Fax

(973) 450-1013

NPI assigned

Aug 18, 2006

Organization subpart

No

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

Authorized official

Name

Dr. John Cozzarelli, DPMNPI 1699889535

Title

Ceo

Phone

(973) 450-0878

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ2 enrollments

Enrollment records 2

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Cozzarelli, DPM

  • Foot & Ankle Surgery Podiatrist
  • Belleville, NJ
  • NPI 1699889535
  Medicare reassignment NPD Authorized official
• Jessica Ann Addeo, DPM

  • Primary Podiatric Medicine Podiatrist
  • Howell, NJ
  • NPI 1639292212
  Medicare reassignment NPD
• Annette Buron, D.P.M.

  • Primary Podiatric Medicine Podiatrist
  • Cliffside Park, NJ
  • NPI 1316398613
  Medicare reassignment NPD
• Robert Ruffalo, P.T.

  • Physical Medicine & Rehabilitation Physician
  • Bloomfield, NJ
  • NPI 1750320891
  Medicare reassignment NPD
• Julian Sansone, DPM

  • Podiatrist
  • Howell, NJ
  • NPI 1841229119
  Medicare reassignment NPD

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242086400000",
    "number": "1053425900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 BELLEVILLE AVE",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071092407",
            "telephone_number": "973-450-0878",
            "fax_number": "973-450-1013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 BELLEVILLE AVE",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071092407",
            "telephone_number": "973-450-0878",
            "fax_number": "973-450-1013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PODIATRY ASSOCIATES OF BELLEVILLE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2009-05-12",
        "status": "A",
        "authorized_official_last_name": "COZZARELLI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "973-450-0878",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00188800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5230306",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Physician Visiting Care
• Physione Physical Therapy P.C.
• Princess Keanne O Pineda, COTA
• Keith Pishna, LCSW
• Doris Lisette Platero, FNP-C
• Anthony Joseph Polizzi, MA, LCADC
• Joseph Anthony Porcello, ATC
• James Pormentilla, P.A.
• Austin Thomas Pothen, PT, DPT
• Carrie Prakope, NP

• Foot & Ankle Surgery Podiatrist in Belleville, NJ
• Providers in Belleville, NJ by specialty
• Foot & Ankle Surgery Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2009; 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.