Organization Active NPI

Ocean Foot and Ankle, PC

  • Foot & Ankle Surgery Podiatrist
  • Little Egg Harbor TWP, NJ
National Provider Identifier
1104864610
Registry record updated Feb 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
MD 002520 Issued in NJ
Legal business name
OCEAN FOOT AND ANKLE, PC
Practice address
1 Leifried LN
Suite B
Little Egg Harbor TWP, NJ 08087-2000
Phone
(609) 294-2666
Fax
(609) 294-0606
NPI assigned
Jun 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2008

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

Authorized official

Name
Dr. James Giannakaros, DPMNPI 1750325684
Title
Owner
Phone
(609) 294-2666

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 MD 002520 NJ Primary

Addresses

Primary practice location

1 Leifried LN
Suite B
Little Egg Harbor TWP, NJ 08087-2000

Mailing address

1 Leifried LN
Suite B
Little Egg Harbor TWP, NJ 08087-2000
Phone (609) 294-2666

Other identifiers 1

IdentifierTypeStateIssuer
8138702MedicaidNJ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031112000060 NJ Part B Supplier - Clinic/Group Practice 9739092099 Receives reassigned benefits from 1 practitioner
Practice locations: Tuckerton, NJ; Manahawkin, NJ

National Provider Directory

National Provider Directory

Locations

1 Leifried Ln
Ste B
Little Egg Harbor Twp, NJ 08087
Phone (609) 294-2666

Practitioners & affiliated clinicians

Practitioners 3

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": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202688000000",
    "number": "1104864610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 LEIFRIED LN",
            "address_2": "SUITE B",
            "city": "LITTLE EGG HARBOR TWP",
            "state": "NJ",
            "postal_code": "080872000",
            "telephone_number": "609-294-2666",
            "fax_number": "609-294-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 LEIFRIED LN",
            "address_2": "SUITE B",
            "city": "LITTLE EGG HARBOR TWP",
            "state": "NJ",
            "postal_code": "080872000",
            "telephone_number": "609-294-2666",
            "fax_number": "609-294-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEAN FOOT AND ANKLE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2008-02-11",
        "status": "A",
        "authorized_official_last_name": "GIANNAKAROS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-294-2666",
        "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": "MD 002520",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8138702",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Egg Harbor TWP, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2008; 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.