Organization Active NPI

Regional Foot and Ankle Specialists, LLC

  • Foot & Ankle Surgery Podiatrist
  • Turnersville, NJ
National Provider Identifier
1083629950
Registry record updated Feb 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
MD001883 Issued in NJ
Legal business name
REGIONAL FOOT AND ANKLE SPECIALISTS, LLC
Practice address
188 Fries Mill Rd Ste F1
Turnersville, NJ 08012-2015
Phone
(856) 875-8855
Fax
(856) 728-5497
NPI assigned
Jul 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2018

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

Authorized official

Name
Dr. Joseph A. Mirarchi, D.P.M.NPI 1285676130
Title
Owner
Phone
(856) 875-8855

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)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X MD001883 NJ Primary

Addresses

Primary practice location

188 Fries Mill Rd Ste F1
Turnersville, NJ 08012-2015

Mailing address

188 Fries Mill Rd Ste F1
Turnersville, NJ 08012-2015
Phone (856) 875-8855

Other identifiers 2

IdentifierTypeStateIssuer
0010997230001MedicaidPA
2188309MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20060328000498 NJ Part B Supplier - Clinic/Group Practice 1658386396 Receives reassigned benefits from 1 practitioner
Practice locations: Turnersville, NJ; Pennsauken, NJ
O20100930068156 NJ DME Supplier - Physician - Podiatry 1658386396 Practice locations: Turnersville, NJ

National Provider Directory

National Provider Directory

Locations

6 N 27th St
Camden, NJ 08105
Phone (856) 365-2313

2400 McClellan Ave
Ste 102E
Pennsauken, NJ 08109
Phone (856) 488-5290

188 Fries Mill Rd
Ste F1
Turnersville, NJ 08012
Phone (856) 875-8855

188 Fries Mill Rd
Ste N2
Turnersville, NJ 08012
Phone (609) 206-8507

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518998400000",
    "number": "1083629950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 FRIES MILL RD STE F1",
            "city": "TURNERSVILLE",
            "state": "NJ",
            "postal_code": "080122015",
            "telephone_number": "856-875-8855",
            "fax_number": "856-728-5497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 FRIES MILL RD STE F1",
            "city": "TURNERSVILLE",
            "state": "NJ",
            "postal_code": "080122015",
            "telephone_number": "856-875-8855",
            "fax_number": "856-728-5497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL FOOT AND ANKLE SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "last_updated": "2018-02-19",
        "status": "A",
        "authorized_official_last_name": "MIRARCHI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-875-8855",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "MD001883",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010997230001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2188309",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Turnersville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2018; 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.