Organization Active NPI

American Foot & Ankle Center PA

  • Podiatrist
  • West Long Branch, NJ
National Provider Identifier
1104257336
Registry record updated Dec 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
25MD00210900 Issued in NJ
Legal business name
AMERICAN FOOT & ANKLE CENTER PA
Practice address
60 State RT 36
Ste A2
West Long Branch, NJ 07764-1464
Phone
(732) 222-9110
NPI assigned
Dec 13, 2013
Last updated
Dec 13, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2013

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

Authorized official

Name
David Laporta, D.P.M.NPI 1427116409
Title
President
Phone
(732) 222-9110

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
Podiatrist 213E00000X 25MD00210900 NJ Primary

Addresses

Primary practice location

60 State RT 36
Ste A2
West Long Branch, NJ 07764-1464

Mailing address

60 State RT 36
Ste A2
West Long Branch, NJ 07764-1464
Phone (732) 222-9110

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140130001511 NJ Part B Supplier - Clinic/Group Practice 3971732579 Receives reassigned benefits from 1 practitioner
Practice locations: West Long Branch, NJ

National Provider Directory

National Provider Directory

Locations

232 Norwood Ave
Ste 101
West Long Branch, NJ 07764
Phone (732) 222-9110

60 State Route 36
Ste A-2
West Long Branch, NJ 07764
Phone (732) 222-9110

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15879/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 2

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": "1386892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386892800000",
    "number": "1104257336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 STATE RT 36",
            "address_2": "STE A2",
            "city": "WEST LONG BRANCH",
            "state": "NJ",
            "postal_code": "077641464",
            "telephone_number": "732-222-9110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 STATE RT 36",
            "address_2": "STE A2",
            "city": "WEST LONG BRANCH",
            "state": "NJ",
            "postal_code": "077641464",
            "telephone_number": "732-222-9110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN FOOT & ANKLE CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-13",
        "last_updated": "2013-12-13",
        "status": "A",
        "authorized_official_last_name": "LAPORTA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-222-9110",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00210900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Long Branch, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2013; 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.