Organization Active NPI

Edison Foot and Ankle Care PC

  • Foot & Ankle Surgery Podiatrist
  • Edison, NJ
National Provider Identifier
1073726972
Registry record updated May 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
EDISON FOOT AND ANKLE CARE PC
Practice address
1037 Amboy Ave Ste 1
Edison, NJ 08837-2917
Phone
(732) 494-5601
Fax
(732) 321-6530
NPI assigned
May 7, 2007
Last updated
May 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2025

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

Authorized official

Name
Colleen Melia
Title
Billing Rep
Phone
(732) 494-5601

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X NU Primary

Addresses

Primary practice location

1037 Amboy Ave Ste 1
Edison, NJ 08837-2917

Mailing address

1037 Amboy Ave Ste 1
Edison, NJ 08837-2917
Phone (732) 494-5601

Other names 1

  • edison foot and ankle care Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070601000077 NJ Part B Supplier - Clinic/Group Practice 0547368334 Receives reassigned benefits from 3 practitioners
Practice locations: Edison, NJ

National Provider Directory

National Provider Directory

Locations

102 James St
Ste 301
Edison, NJ 08820
Phone (732) 494-5601

1037 Amboy Ave
Ste 1
Edison, NJ 08837
Phone (732) 494-5601

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747353600000",
    "number": "1073726972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1037 AMBOY AVE STE 1",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088372917",
            "telephone_number": "732-494-5601",
            "fax_number": "732-321-6530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1037 AMBOY AVE STE 1",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088372917",
            "telephone_number": "732-494-5601",
            "fax_number": "732-321-6530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDISON FOOT AND ANKLE CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A",
        "authorized_official_last_name": "MELIA",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_title_or_position": "BILLING REP",
        "authorized_official_telephone_number": "732-494-5601"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "edison foot and ankle care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.