Active NPI
Advanced Care Podiatry, LLC
- Foot & Ankle Surgery Podiatrist
- Trenton, NJ
National Provider Identifier
1124573647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 25MD00297700
- Legal business name
- ADVANCED CARE PODIATRY, LLC
- Practice address
- 1725 Klockner Rd
Trenton, NJ 08619-2711 - Phone
- (609) 586-6700
- Fax
- (609) 586-8768
- NPI assigned
- Aug 25, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Aisha S Chaudhry, DPM
- Title
- Owner
- Phone
- (215) 639-4500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 25MD00297700 | NJ | Primary |
Addresses
Primary practice location
1725 Klockner Rd
Trenton, NJ 08619-2711
Mailing address
3046 Knights Rd
Bensalem, PA 19020-2815
Phone (215) 639-4500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0413283 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Podiatrist
- Mount Ephraim, NJ
- NPI 1518227578
-
- Foot & Ankle Surgery Podiatrist
- Orlando, FL
- NPI 1962810846
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472083200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1576195200000",
"number": "1124573647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3046 KNIGHTS RD",
"city": "BENSALEM",
"state": "PA",
"postal_code": "190202815",
"telephone_number": "215-639-4500",
"fax_number": "215-604-0355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1725 KLOCKNER RD",
"city": "TRENTON",
"state": "NJ",
"postal_code": "086192711",
"telephone_number": "609-586-6700",
"fax_number": "609-586-8768"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED CARE PODIATRY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-08-25",
"last_updated": "2019-12-13",
"certification_date": "2019-12-13",
"status": "A",
"authorized_official_last_name": "CHAUDHRY",
"authorized_official_first_name": "AISHA",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "215-639-4500",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NJ",
"license": "25MD00297700",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0413283",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Trenton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.