Organization Active NPI

Ankle and Foot Medical Centers of the Delaware Valley PC

  • Podiatrist
  • Philadelphia, PA
National Provider Identifier
1124010152
Registry record updated Jun 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
ANKLE AND FOOT MEDICAL CENTERS OF THE DELAWARE VALLEY PC
Practice address
3801 Market St
Mab #111
Philadelphia, PA 19104-3153
Phone
(215) 662-9563
Fax
(215) 243-8818
NPI assigned
Aug 16, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2010

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

Authorized official

Name
Dr. Alan J Mlodzienski, DPM
Title
President
Phone
(215) 662-9563

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

3801 Market St
Mab #111
Philadelphia, PA 19104-3153

Mailing address

3801 Market St
Mab #111
Philadelphia, PA 19104-3153
Phone (215) 662-9563

Other identifiers 1

IdentifierTypeStateIssuer
0017329000002MedicaidPA

National Provider Directory

National Provider Directory

Locations

731 Old Lancaster Rd
Bryn Mawr, PA 19010
Phone (610) 525-2227

3801 Market St
Philadelphia, PA 19104
Phone (215) 662-9561

829 Spruce St
Ste 108
Philadelphia, PA 19107
Phone (215) 925-4290

528 E Lancaster Ave
Radnor, PA 19087
Phone (484) 580-8080

250 King of Prussia Rd
#7
Radnor, PA 19087
Phone (610) 902-5721

Practitioners & affiliated clinicians

Practitioners 1

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": "1124150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276732800000",
    "number": "1124010152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 MARKET ST",
            "address_2": "MAB #111",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191043153",
            "telephone_number": "215-662-9563",
            "fax_number": "215-243-8818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 MARKET ST",
            "address_2": "MAB #111",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191043153",
            "telephone_number": "215-662-9563",
            "fax_number": "215-243-8818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANKLE AND FOOT MEDICAL CENTERS OF THE DELAWARE VALLEY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-16",
        "last_updated": "2010-06-17",
        "status": "A",
        "authorized_official_last_name": "MLODZIENSKI",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-662-9563",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017329000002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.