NPIMap

Organization Active NPI

Foot and Ankle Specialty LLC

  • Podiatric Clinic/Center
  • Jersey City, NJ
National Provider Identifier
1124358858
Registry record updated Mar 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
Legal business name
FOOT AND ANKLE SPECIALTY LLC
Practice address
550 Summit Ave
Jersey City, NJ 07306
Phone
(201) 721-6827
NPI assigned
Dec 31, 2009
Last updated
Mar 4, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2020

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

Authorized official

Name
Anandkumar Patel, D.P.M.NPI 1235360942
Title
Owner
Phone
(201) 721-6827

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
Podiatric Clinic/Center 261QP1100X NU Primary

Addresses

Primary practice location

550 Summit Ave
Jersey City, NJ 07306

Mailing address

PO Box 1158
South Plainfield, NJ 07080-8158
Phone (201) 721-6827

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100414000025 NJ Part B Supplier - Clinic/Group Practice 0446386908 Receives reassigned benefits from 9 practitioners
Practice locations: North Brunswick, NJ; Matawan, NJ; Old Bridge, NJ; Paramus, NJ; Perth Amboy, NJ; Piscataway, NJ; Sayreville, NJ; Scotch Plains, NJ…
O20100930084740 NJ DME Supplier - Physician - Podiatry 0446386908 Practice locations: Jersey City, NJ

National Provider Directory

National Provider Directory

Locations

4601 Hollins Ferry Rd
Halethorpe, MD 21227
Phone (410) 242-6650

638 Bayway Ave
Elizabeth, NJ 07202
Phone (908) 527-1112

1980 N Olden Avenue Ext
Ste 10
Ewing, NJ 08618
Phone (609) 403-6979

178 Ogden Ave
Jersey City, NJ 07307
Phone (201) 963-1800

1501 Livingston Ave
Ste 2
North Brunswick, NJ 08902
Phone (732) 626-5544

72B State Route 34
Old Bridge, NJ 08857
Phone (732) 727-3668

540 Bordentown Ave
Ste 10B
South Amboy, NJ 08879
Phone (732) 553-1600

Practitioners & affiliated clinicians

Practitioners 12

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": "1262217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583280000000",
    "number": "1124358858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1158",
            "city": "SOUTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070808158",
            "telephone_number": "201-721-6827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 SUMMIT AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "07306",
            "telephone_number": "201-721-6827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT AND ANKLE SPECIALTY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-31",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "ANANDKUMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-721-6827",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; 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.