Comprehensive Foot & Ankle Center, LLC

Organization Active NPI Foot & Ankle Surgery Podiatrist · Sicklerville, NJ

NPI 1114974698 · NPPES record last updated Oct 1, 2025

Key facts

NPI
1114974698
Entity type
Organization (NPI type 2)
Primary specialty
Foot & Ankle Surgery Podiatrist 213ES0103X
License
25MD00276000 (NJ)
Legal business name
COMPREHENSIVE FOOT & ANKLE CENTER, LLC
Practice address
571 Berlin Cross Keys Rd
Suite 100
Sicklerville, NJ 08081-9550
Phone
(856) 875-9553
Fax
(856) 875-9443
NPI assigned
May 28, 2006
Organization subpart
No

Authorized official

Name
Dr. Minh P. Cao, DPM NPI 1194792721
Title
Physician
Phone
(856) 875-9553

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 2

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in NJ

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20060126000382 NJ Part B Supplier - Clinic/Group Practice 8325052608 Receives reassigned benefits from 2 practitioners
Practice locations: Atlantic City, NJ; Sicklerville, NJ
O20100930058045 NJ DME Supplier - Physician - Podiatry 8325052608 Practice locations: Sicklerville, NJ

National Provider Directory

Tax ID family
Comprehensive Foot and Ankle Center (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist
Group: 193400000X SINGLE SPECIALTY GROUP
213ES0103X 25MD00276000 NJ Yes

Addresses

Primary practice location

571 Berlin Cross Keys Rd
Suite 100
Sicklerville, NJ 08081-9550

Mailing address

571 Berlin Cross Keys Rd
Suite 100
Sicklerville, NJ 08081-9550
Phone (856) 875-9553

Other identifiers

IdentifierTypeStateIssuer
0026247MedicaidNJ

Other providers in Sicklerville, NJ

All providers in Sicklerville, NJ · Foot & Ankle Surgery Podiatrist in New Jersey

Sources for this page

Verify at the official NPI Registry.